Akademik Veri Yönetim Sistemi
SURGICAL NEUROLOGY INTERNATIONAL, cilt.15, 2024 (Scopus)
being exceptionally uncommon. Late diagnosis, especially in aggressive cases, can lead to surgical challenges.
Oxidized regenerated cellulose (ORC) used for hemostasis may result in complications if left in the surgical field.
Case Description: An 8-year-old female presented with six months of intractable neck pain accompanied by
swelling, hindering proximal right upper extremity evaluation. Motor strength was intact distally, with normal
reflexes and no hypoesthesia. Imaging revealed a C4–5 facet joint lesion necessitating surgery. Intraoperative
hemorrhage prompted ORC application, which led to postoperative arm pain and C5–6 radiculopathy.
Subsequent surgery alleviated these symptoms.
Conclusion: Osteoblastomas, despite their benign classification, may exhibit aggressive characteristics, warranting
en-bloc resection. Cervical spine osteoblastomas, due to their vascular nature and proximity to vital structures,
complicate surgical interventions. ORC, a commonly used hemostatic agent, may induce compression complications,
and early intervention is critical for patient recovery. This case underscores the intricacies of managing aggressive
osteoblastomas in the cervical spine and highlights potential ORC-related complications. Surgeons must exercise
caution when using ORC and consider postoperative risks. Prompt intervention and meticulous planning are
paramount for favorable outcomes in such cases.