Submandibular approach to anterior C2-C4 disc space in the management of an aneurysmal bone cyst |
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| Institution: | 1. Institute for Evaluative Research in Medicine, Stauffacherstrasse 78, 3014 Bern, Switzerland;2. Spine Centre Division, Department of Teaching, Research and Development, Schulthess Klinik, Lengghalde 2, CH-8008 Zurich, Switzerland;3. Comparative Effectiveness, Cost and Outcome Research Centre, University of Washington, 4333 Brooklyn Ave NE, Seattle, WA 98104, USA;4. Department of Orthopaedic Surgery, Salem Spital, Schänzlistrasse 39, Bern 3025, Switzerland |
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| Abstract: | We report a case of a ten-year-old girl with a large posterior neck mass, an aneurysmal bone cyst involving the upper cervical spine.Patient underwent tumor resection through a posterior approach and required subsequent anterior fusion and instrumentation of C2-C4 for stability. We describe a challenging transcervical submandibular approach that allowed anterior cervical discectomy with placement of interdisc spacer using pre-contoured allograft and plating to achieve anterior fusion. We demonstrated that this approach is safe and effective in children, and provides excellent visualization for direct access with a surprisingly large operative field for instrumentation. |
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| Keywords: | Aneurysmal bone cyst Cervical spine Submandibular approach |
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