{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T22:35:12Z","timestamp":1769726112573,"version":"3.49.0"},"reference-count":66,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"16","license":[{"start":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:00:00Z","timestamp":1760918400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurosurg Case Lessons"],"published-print":{"date-parts":[[2025,10,20]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Aneurysmal bone cysts (ABCs) are aggressive, destructive bone tumors. Treatment of ABCs occurring in the upper cervical spine remains challenging due to their proximity to critical nerves and blood vessels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>The authors report the case of a patient with a giant ABC in the atlas. Imaging data showed that there were changes in the left bone of the atlas, spinal canal stenosis and instability at the craniovertebral junction, and the vertebral artery passed through the lesion. The combined far-lateral, transoral, and posterior midline approach was adopted to completely resect the lesion. Meanwhile, a personalized atlas prosthesis was fabricated by means of 3D printing to reconstruct the craniovertebral stability. After the operation, the patient\u2019s symptoms disappeared and there was no neurological dysfunction. During the 3-year follow-up, the lesion did not recur and the prosthesis and internal fixation devices were in a good position.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>In this case of a giant ABC of atlas, the authors successfully achieved complete resection of atlas lateral mass lesions through a combined posterior-anterior-posterior approach and used a 3D-printed prosthesis to reconstruct craniocervical stability, providing a surgical paradigm for similar cases.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE25164\">https:\/\/thejns.org\/doi\/10.3171\/CASE25164<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case25164","type":"journal-article","created":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:23:23Z","timestamp":1760955803000},"source":"Crossref","is-referenced-by-count":0,"title":["Resection and 3D-printed prosthetic reconstruction of a giant aneurysmal bone cyst in the atlas: illustrative case"],"prefix":"10.3171","volume":"10","author":[{"given":"Yuanwen","family":"Zheng","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Southwest Hospital, Army Medical University, Chongqing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xing","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southwest Hospital, Army Medical University, Chongqing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guangjian","family":"He","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southwest Hospital, Army Medical University, Chongqing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xingsen","family":"Xue","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southwest Hospital, Army Medical University, Chongqing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6261-0291","authenticated-orcid":true,"given":"Xin","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southwest Hospital, Army Medical University, Chongqing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chenghui","family":"Mai","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southwest Hospital, Army Medical University, Chongqing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fei","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southwest Hospital, Army Medical University, Chongqing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weihua","family":"Chu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Southwest Hospital, Army Medical University, Chongqing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"4","key":"bib1","series-title":"Pediatr Neurosurg","first-page":"219","article-title":"Cervical spine aneurysmal bone cysts in the pediatric population: a systematic review of the literature","volume":"52","author":"Protas","year":"2017","unstructured":"Protas MJones LWSardi JPCervical spine aneurysmal bone cysts in the pediatric population: a systematic review of the literature. Pediatr Neurosurg. 2017;52(4):219-224."},{"issue":"1","key":"bib2","series-title":"J Neurooncol","first-page":"171","article-title":"Aneurysmal bone cysts of the spine: treatment options and considerations","volume":"120","author":"Boriani","year":"2014","unstructured":"Boriani SLo SFPuvanesarajah VAneurysmal bone cysts of the spine: treatment options and considerations. J Neurooncol. 2014;120(1):171-178."},{"issue":"4","key":"bib3","series-title":"Neurol India","first-page":"843","article-title":"Aneurysmal bone cysts of spine: an enigmatic entity","volume":"68","author":"Abrar","year":"2020","unstructured":"Abrar WASarmast ASarabjit Singh ARKhursheed NAli Z.Aneurysmal bone cysts of spine: an enigmatic entity. Neurol India. 2020;68(4):843-849."},{"key":"bib4","series-title":"Orthop Res Rev","first-page":"159","article-title":"Spinal aneurysmal bone cysts (ABCs): optimal management","volume":"11","author":"Parker","year":"2019","unstructured":"Parker JSoltani SBoissiere LObeid IGille OKieser DC.Spinal aneurysmal bone cysts (ABCs): optimal management. Orthop Res Rev. 2019;11:159-166."},{"issue":"10","key":"bib5","series-title":"J Am Acad Orthop Surg","first-page":"369","article-title":"Early recurrence of a solid variant of aneurysmal bone cyst in a young child after resection: technique and literature review and two-year follow-up after corpectomy","volume":"26","author":"Samir Barakat","year":"2018","unstructured":"Samir Barakat AAlsingaby HShousha MEl Saghir HBoehm H.Early recurrence of a solid variant of aneurysmal bone cyst in a young child after resection: technique and literature review and two-year follow-up after corpectomy. J Am Acad Orthop Surg. 2018;26(10):369-375."},{"issue":"2","key":"bib6","series-title":"Eur Spine J","first-page":"270","article-title":"Aneurysmal bone cyst of C2 treated with novel anterior reconstruction and stabilization","volume":"28","author":"Rajasekaran","year":"2019","unstructured":"Rajasekaran SAiyer SNShetty APKanna RMaheswaran A.Aneurysmal bone cyst of C2 treated with novel anterior reconstruction and stabilization. Eur Spine J. 2019;28(2):270-278."},{"issue":"10","key":"bib7","series-title":"Cancers (Basel)","first-page":"2362","article-title":"Primary aneurysmal bone cyst and its recent treatment options: a comparative review of 74 cases","volume":"13","author":"Deventer","year":"2021","unstructured":"Deventer NSchulze MGosheger Gde Vaal MDeventer N.Primary aneurysmal bone cyst and its recent treatment options: a comparative review of 74 cases. Cancers (Basel). 2021;13(10):2362."},{"issue":"3","key":"bib8","series-title":"J Surg Oncol","first-page":"601","article-title":"Aneurysmal bone cysts: a UK wide tumor center experience","volume":"129","author":"Bavan","year":"2024","unstructured":"Bavan LEastley NStevenson JAneurysmal bone cysts: a UK wide tumor center experience. J Surg Oncol. 2024;129(3):601-608."},{"issue":"8","key":"bib9","series-title":"Pediatr Radiol","first-page":"1528","article-title":"Doxycycline sclerotherapy of cervical spine aneurysmal bone cysts: single-institution 13-year experience","volume":"52","author":"Wong","year":"2022","unstructured":"Wong MNBraswell LEMurakami JW.Doxycycline sclerotherapy of cervical spine aneurysmal bone cysts: single-institution 13-year experience. 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J Bone Joint Surg Am. 2011;93(16):1534-1543."},{"issue":"3","key":"bib12","series-title":"Surg Neurol","first-page":"298","article-title":"Aneurysmal bone cyst of the cervical spine in a child: case report and review of the surgical role","volume":"65","author":"Khalil","year":"2006","unstructured":"Khalil IMAlaraj AMOtrock ZKChamoun RBSabbagh ASSkaf GS.Aneurysmal bone cyst of the cervical spine in a child: case report and review of the surgical role. Surg Neurol. 2006;65(3):298-303."},{"issue":"10","key":"bib13","series-title":"Eur Spine J","first-page":"2839","article-title":"The role of percutaneous transarterial embolization in the management of spinal bone tumors: a literature review","volume":"30","author":"Facchini","year":"2021","unstructured":"Facchini GParmeggiani APeta GThe role of percutaneous transarterial embolization in the management of spinal bone tumors: a literature review. 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J Neurosurg Case Lessons. 2024;7(4):CASE23637."},{"issue":"8","key":"bib16","series-title":"Cureus","first-page":"e27735","article-title":"Aneurysmal bone cyst (ABC) of the C2 vertebra","volume":"14","author":"Chan","year":"2022","unstructured":"Chan SKMuhamad Ariffin MH.Aneurysmal bone cyst (ABC) of the C2 vertebra. Cureus. 2022;14(8):e27735."},{"issue":"8","key":"bib17","series-title":"Int Orthop","first-page":"1685","article-title":"How effective is embolization with N-2-butyl-cyanoacrylate for aneurysmal bone cysts?","volume":"41","author":"Rossi","year":"2017","unstructured":"Rossi GMavrogenis AFFacchini GHow effective is embolization with N-2-butyl-cyanoacrylate for aneurysmal bone cysts? Int Orthop. 2017;41(8):1685-1692."},{"key":"bib18","series-title":"J Orthop","first-page":"143","article-title":"Polidocanol sclerotherapy for the treatment of aneurysmal bone cyst, with or without pathological fractures: a prospective, comparative study","volume":"46","author":"Ahmad","year":"2023","unstructured":"Ahmad SAlam IKhan AQAbbas MBChowdhry M.Polidocanol sclerotherapy for the treatment of aneurysmal bone cyst, with or without pathological fractures: a prospective, comparative study. J Orthop. 2023;46:143-149."},{"issue":"12","key":"bib19","series-title":"Skelet Radiol","first-page":"2433","article-title":"Aneurysmal bone cysts in the spine, causing neurological compromise: safety and clinical efficacy of sclerotherapy utilizing sodium tetradecyl sulfate foam","volume":"50","author":"Dalili","year":"2021","unstructured":"Dalili DParker JMirzaian AAneurysmal bone cysts in the spine, causing neurological compromise: safety and clinical efficacy of sclerotherapy utilizing sodium tetradecyl sulfate foam. Skelet Radiol. 2021;50(12):2433-2447."},{"key":"bib20","series-title":"World Neurosurg","first-page":"3","article-title":"Percutaneous doxycycline foam injections: novel treatment method for vertebral aneurysmal bone cysts","volume":"125","author":"Lyons","year":"2019","unstructured":"Lyons KWBorsinger TMPearson AM.Percutaneous doxycycline foam injections: novel treatment method for vertebral aneurysmal bone cysts. 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Eur Spine J. 2018;27(4):851-858."},{"issue":"15","key":"bib23","series-title":"J Clin Med","first-page":"4522","article-title":"Denosumab re-challenge and long-term efficacy for aneurysmal bone cyst of the spine: enhanced treatment algorithm","volume":"13","author":"Evangelisti","year":"2024","unstructured":"Evangelisti GAltorfer FCSFalzetti LDenosumab re-challenge and long-term efficacy for aneurysmal bone cyst of the spine: enhanced treatment algorithm. J Clin Med. 2024;13(15):4522."},{"issue":"6","key":"bib24","series-title":"J Neurosurg Pediatr","first-page":"547","article-title":"The role of neoadjuvant denosumab in the treatment of aneurysmal bone cysts: a case series and review of the literature","volume":"30","author":"Giantini-Larsen","year":"2022","unstructured":"Giantini-Larsen AMChakravarthy VBBarzilai ONewman WCWexler LBilsky MH.The role of neoadjuvant denosumab in the treatment of aneurysmal bone cysts: a case series and review of the literature. J Neurosurg Pediatr. 2022;30(6):547-554."},{"issue":"3","key":"bib25","series-title":"J Orthop Surg (Hong Kong)","first-page":"10225536241297105","article-title":"Exploring denosumab\u2019s potential in aneurysmal bone cyst treatment: a scoping review","volume":"32","author":"Sandhu","year":"2024","unstructured":"Sandhu VAjit Singh VPuri A.Exploring denosumab\u2019s potential in aneurysmal bone cyst treatment: a scoping review. J Orthop Surg (Hong Kong). 2024;32(3):10225536241297105."},{"issue":"4","key":"bib26","series-title":"Strahlenther Onkol","first-page":"332","article-title":"Radiotherapy for aneurysmal bone cysts: a rare indication","volume":"193","author":"Elsayad","year":"2017","unstructured":"Elsayad KKriz JSeegenschmiedt HRadiotherapy for aneurysmal bone cysts: a rare indication. Strahlenther Onkol. 2017;193(4):332-340."},{"issue":"6","key":"bib27","series-title":"Am J Clin Oncol","first-page":"621","article-title":"Radiation therapy for aneurysmal bone cysts","volume":"40","author":"Zhu","year":"2017","unstructured":"Zhu SHitchcock KEMendenhall WM.Radiation therapy for aneurysmal bone cysts. Am J Clin Oncol. 2017;40(6):621-624."},{"issue":"8","key":"bib28","series-title":"J Pediatr Orthop","first-page":"938","article-title":"Aneurysmal bone cyst recurrence in children: a review of 56 patients","volume":"27","author":"Ba\u015farir","year":"2007","unstructured":"Ba\u015farir KPi\u015fkin AG\u00fc\u00e7l\u00fc BYildiz YSa\u011flik Y.Aneurysmal bone cyst recurrence in children: a review of 56 patients. 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Pediatr Neurosurg. 2017;52(4):219-224."},{"issue":"1","key":"bib2","series-title":"J Neurooncol","first-page":"171","article-title":"Aneurysmal bone cysts of the spine: treatment options and considerations","volume":"120","author":"Boriani","year":"2014","unstructured":"Boriani SLo SFPuvanesarajah VAneurysmal bone cysts of the spine: treatment options and considerations. J Neurooncol. 2014;120(1):171-178."},{"issue":"4","key":"bib3","series-title":"Neurol India","first-page":"843","article-title":"Aneurysmal bone cysts of spine: an enigmatic entity","volume":"68","author":"Abrar","year":"2020","unstructured":"Abrar WASarmast ASarabjit Singh ARKhursheed NAli Z.Aneurysmal bone cysts of spine: an enigmatic entity. Neurol India. 2020;68(4):843-849."},{"key":"bib4","series-title":"Orthop Res Rev","first-page":"159","article-title":"Spinal aneurysmal bone cysts (ABCs): optimal management","volume":"11","author":"Parker","year":"2019","unstructured":"Parker JSoltani SBoissiere LObeid IGille OKieser DC.Spinal aneurysmal bone cysts (ABCs): optimal management. Orthop Res Rev. 2019;11:159-166."},{"issue":"10","key":"bib5","series-title":"J Am Acad Orthop Surg","first-page":"369","article-title":"Early recurrence of a solid variant of aneurysmal bone cyst in a young child after resection: technique and literature review and two-year follow-up after corpectomy","volume":"26","author":"Samir Barakat","year":"2018","unstructured":"Samir Barakat AAlsingaby HShousha MEl Saghir HBoehm H.Early recurrence of a solid variant of aneurysmal bone cyst in a young child after resection: technique and literature review and two-year follow-up after corpectomy. J Am Acad Orthop Surg. 2018;26(10):369-375."},{"issue":"2","key":"bib6","series-title":"Eur Spine J","first-page":"270","article-title":"Aneurysmal bone cyst of C2 treated with novel anterior reconstruction and stabilization","volume":"28","author":"Rajasekaran","year":"2019","unstructured":"Rajasekaran SAiyer SNShetty APKanna RMaheswaran A.Aneurysmal bone cyst of C2 treated with novel anterior reconstruction and stabilization. Eur Spine J. 2019;28(2):270-278."},{"issue":"10","key":"bib7","series-title":"Cancers (Basel)","first-page":"2362","article-title":"Primary aneurysmal bone cyst and its recent treatment options: a comparative review of 74 cases","volume":"13","author":"Deventer","year":"2021","unstructured":"Deventer NSchulze MGosheger Gde Vaal MDeventer N.Primary aneurysmal bone cyst and its recent treatment options: a comparative review of 74 cases. Cancers (Basel). 2021;13(10):2362."},{"issue":"3","key":"bib8","series-title":"J Surg Oncol","first-page":"601","article-title":"Aneurysmal bone cysts: a UK wide tumor center experience","volume":"129","author":"Bavan","year":"2024","unstructured":"Bavan LEastley NStevenson JAneurysmal bone cysts: a UK wide tumor center experience. J Surg Oncol. 2024;129(3):601-608."},{"issue":"8","key":"bib9","series-title":"Pediatr Radiol","first-page":"1528","article-title":"Doxycycline sclerotherapy of cervical spine aneurysmal bone cysts: single-institution 13-year experience","volume":"52","author":"Wong","year":"2022","unstructured":"Wong MNBraswell LEMurakami JW.Doxycycline sclerotherapy of cervical spine aneurysmal bone cysts: single-institution 13-year experience. 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Int Orthop. 2017;41(8):1685-1692."},{"key":"bib18","series-title":"J Orthop","first-page":"143","article-title":"Polidocanol sclerotherapy for the treatment of aneurysmal bone cyst, with or without pathological fractures: a prospective, comparative study","volume":"46","author":"Ahmad","year":"2023","unstructured":"Ahmad SAlam IKhan AQAbbas MBChowdhry M.Polidocanol sclerotherapy for the treatment of aneurysmal bone cyst, with or without pathological fractures: a prospective, comparative study. 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