Giant cell tumor of first lumbar vertebra mimicking as metastasis- Rare Case Report and Review of literature

Abstract

spinal giant cell tumors are very uncommon solitary beningn neoplasms with locally aggressive nature. These tumors are most commonly seen in sacrum, rarely present above the sacral part of axial spine. Till now very few cases of giant cell tumors involving lumbar region have been reported in literature. Here in, we are reporting an unusal case of solitary giant cell tumor at (Lumbar)L1 vertebra in a 25 year old man presenting with low backache, paraparesis and urinary disturbances. He underwent near total excision of tumor through posterior approach followed by instrumentation and posterolateral fusion. Postoperatively patient improved neurologically. To the best of our knowledge till now 27 cases of Lumbar giant cell tumors have been documented in literature.