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The Journal of Bone and Joint Surgery 78:1574-7 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Aneurysmal Bone Cyst of the Atlas: Operative Removal through an Anterolateral Approach. A Case Report*

FLAVIO BONGIOANNI, M.D.{dagger}, EMILE ASSADURIAN, M.D.{dagger}, MARC POLIVKA, M.D.{dagger} and BERNARD GEORGE, M.D.{dagger}, PARIS, FRANCE

Investigation performed at Hôpital Lariboisière, Paris


   Introduction
 
Aneurysmal bone cysts are benign tumors that arise most often in the shaft of a long bone and occur frequently in young patients. These lesions usually are characterized by painful swelling and have an expansible, honeycombed appearance on radiographs. Aneurysmal bone cysts in the cephalad portion of the spine are rare1,9,12. This is the first report, to our knowledge, of an aneurysmal bone cyst in the lateral mass of the atlas that was treated operatively through a lateral approach.


   Case Report
 
A thirty-six-year-old man was initially seen five months after an acute onset of pain in the cephalad portion of the neck while he was carrying a heavy weight. During the next five months, the pain had occurred in paroxysmal attacks and had been relieved only partially by medication and physical therapy. The patient had had no similar episode in the past. He was admitted to the Rheumatology Department, where he . . . [Full Text of this Article]


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