Submandibular Approach to Anterior C2-C4 Disc Space in the Management of an Aneurismal Bone Cyst

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.

Source: International Journal of Pediatric Otorhinolaryngology Extra - July 28, 2016 Category: ENT & OMF Authors: Wen Jiang, Burt Yaszay Tags: Case Report Source Type: research