Challenges in the treatment of spinal aneurysmal bone cysts

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