Which of the following condition is associated with a classical expansive lytic lesion in the transverse process of a veebra on an X ray?
Correct Answer: Aneurysmal bone cyst
Description: Aneurysmal bone cysts are benign highly vascular bony lesions. It occur in the second decade of life and has a tendency to involve the posterior elements of the veebrae. Most commonly it is located in the cervical and thoracic spine. X ray shows an expansile, lytic lesion with bubbly appearance surrounded by a thin shell of reactive bone. Fine bony septations give the lesion a soap bubble appearance. Ref: The Growing Spine: Management of Spinal Disorders in Young Children By Behrooz A. Akbarnia, Page 126; Essential Ohopedics, 3rd Edition By J Maheswari, Page 215, 218-9.
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