Published online Apr 6, 2021. doi: 10.12998/wjcc.v9.i10.2380
Peer-review started: December 10, 2020
First decision: January 17, 2021
Revised: January 18, 2021
Accepted: January 27, 2021
Article in press: January 27, 2021
Published online: April 6, 2021
Processing time: 109 Days and 6.5 Hours
Solitary bone plasmacytoma (SBP) of the upper cervical spine is a rare diagnosis. The exact role of surgery for SBP remains unclear.
We present the first case of SBP of the C2. A 69-year-old Chinese woman presented with severe neck pain and limitation of rotative activity for 2 mo. She underwent anterior one-stage debridement combined with cement augmentation in the C2 to reconstruct stability of the spine. The patient did not receive postoperative radiotherapy. She now remains disease free with no neck pain or neurological deficit after follow-up of 3 years.
Anterior one-stage debridement combined with cement augmentation of the upper cervical spine may be an alternative treatment for SBP.
Core Tip: We present a case of solitary bone plasmacytoma on the C2 with follow-up of 3 years. The patient underwent anterior one-stage debridement combined with cement augmentation. The results of this case provide a choice for surgical treatment of solitary bone plasmacytoma. They also show that radical surgery without radiotherapy is a rational choice for treating solitary bone plasmacytoma with spinal instability.
