{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:02:49Z","timestamp":1756425769224,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T00:00:00Z","timestamp":1714348800000},"content-version":"unspecified","delay-in-days":28,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,4,6]]},"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:p>Aneurysmal bone cysts (ABCs) are primary bone tumours that rarely occur in the spine and generally affect one vertebral level in adolescents. Here, we present an unusual case of a multilevel thoracolumbar ABC, which presented a unique surgical challenge due to its infiltrative and destructive nature. A teenage male presented with back pain, paresthesias and a mildly spastic gait. MRI of the thoracolumbar spine revealed an expansive, multicystic mass extending from the left T12\u2013L1 vertebral bodies into adjacent musculature. The patient underwent a two-stage surgical approach with decompression of the spinal cord and instrumentation to stabilise the vertebral column. The first stage involved posterior decompression, laminectomy and facetectomies, followed by pedicle-based instrumentation from T10 to L3. This was followed by a vertebrectomy and anterior stabilisation with an expansile cage from T11 to L2. A gross total resection was achieved with the patient maintaining full neurological function.<\/jats:p>","DOI":"10.1136\/bcr-2024-259708","type":"journal-article","created":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T13:50:43Z","timestamp":1714398643000},"page":"e259708","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical management of a multilevel thoracolumbar aneurysmal bone cyst"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8262-8405","authenticated-orcid":false,"given":"Ryan","family":"Gensler","sequence":"first","affiliation":[{"name":"Georgetown University School of Medicine, Washington, District of Columbia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Roehrkasse","sequence":"additional","affiliation":[{"name":"Neurosurgery, MedStar Georgetown University Hospital, Washington, District of Columbia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ehsan","family":"Dowlati","sequence":"additional","affiliation":[{"name":"Neurosurgery, University of Michigan, Michigan, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Sloan","sequence":"additional","affiliation":[{"name":"Neurosurgery, MedStar Georgetown University Hospital, Washington, District of Columbia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"McGrail","sequence":"additional","affiliation":[{"name":"Neurosurgery, MedStar Georgetown University Hospital, Washington, District of Columbia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,4,29]]},"reference":[{"key":"2025082800313690000_17.4.e259708.1","doi-asserted-by":"publisher","DOI":"10.1097\/01.bsd.0000172073.38814.f9"},{"key":"2025082800313690000_17.4.e259708.2","first-page":"55","article-title":"Surgical management of giant multilevel aneurysmal bone cyst of cervical spine in a 10-year-old boy: case report with review of literature","volume":"3","author":"Gurjar","year":"2013","journal-title":"Evidence-Based Spine-Care Journal"},{"key":"2025082800313690000_17.4.e259708.3","first-page":"377","article-title":"Aneurysmal bone cyst of the spine","volume":"74","author":"Rosales-Olivares","year":"2006","journal-title":"Cir Cir"},{"key":"2025082800313690000_17.4.e259708.4","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1007\/s11060-014-1540-0","article-title":"Aneurysmal bone cysts of the spine: treatment options and considerations","volume":"120","author":"Boriani","year":"2014","journal-title":"J Neurooncol"},{"key":"2025082800313690000_17.4.e259708.5","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200112151-00006"},{"key":"2025082800313690000_17.4.e259708.6","first-page":"592","article-title":"Treatment of an aneurysmal bone cyst of the spine by radionuclide ablation","volume":"21","author":"Bush","year":"2000","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025082800313690000_17.4.e259708.7","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1055\/s-2008-1053390","article-title":"Multilevel vertebral body replacement with a titanium mesh spacer for aneurysmal bone cyst: technical NOTE","volume":"42","author":"Kinoshita","year":"1999","journal-title":"Minim Invasive Neurosurg"},{"key":"2025082800313690000_17.4.e259708.8","doi-asserted-by":"crossref","first-page":"196","DOI":"10.4103\/1817-1745.139369","article-title":"Giant aneurysmal bone cyst of cervical spine: surgical management and circumferential spinal fusion in a 13-year-old girl","volume":"9","author":"Mishra","year":"2014","journal-title":"J Pediatr Neurosci"},{"key":"2025082800313690000_17.4.e259708.9","first-page":"415","article-title":"Two-stage multilevel cervical spondylectomy for aneurysmal bone Cyst","volume":"23","author":"Simsek","year":"2013","journal-title":"Turk Neurosurg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-259708","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:31:42Z","timestamp":1756366302000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-259708"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4]]},"references-count":9,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,4,29]]},"published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1136\/bcr-2024-259708"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-259708","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,4]]}}}