Abstract
A 17-year-old boy presented with back pain of 6 months’ duration and progressive paraparesis of 1 month duration. Magnetic resonance imaging of the spine (Fig. 1) showed a large expansile cystic lesion at D11 and D12 with fluid-fluid levels involving the posterior elements and the vertebral bodies. There was rim enhancement of the cystic lesion on the postcontrast scan. The lesion had expanded the pedicles and laminae, and had encroached into the spinal canal, where it had compressed the cord. Computed tomography of the spine (Fig. 2) revealed large areas of lysis and an intact cortex. The rest of the spine was normal. These radiological features were consistent with the diagnosis of a vertebral aneurysmal bone cyst at D11 and D12 levels with cord compression. He was referred for embolization followed by radical resection of the lesion and fusion.
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