Challenges in the treatment of spinal aneurysmal bone cysts

الملخص EN

A nine-year-old male presented with persistent lower back pain for several weeks.

Clinical examination revealed limitation of back flexion.

Radiological examination revealed a lytic lesion in L4 vertebra, which was confirmed as an Aneurysmal Bone Cyst (ABC) by Fine Needle Aspiration Cytology.

The patient underwent two surgeries five months apart, which resulted in a recurrence of larger tumor discovered four months following the second surgery.

A conservative approach was adopted to treat the final recurrence.