SURGICAL MANAGEMENT OF CERVICAL VERTEBRAE BONY SPACE OCCUPYING LESION-OSTEOID OSTEOMA

16 YEAR OLD female was admitted with complaints of neck pain radiating to right upper limb in the form of electric shock and aggravated by shoulder movements.Clinical examination revealed right elbow extensor and right wrist dorsiflexor weakness. Right sided triceps jerk is diminished without any sensory disturbances. Right Plantar response is extensor. CTMRI CERVICALSPINE showed expansile osteosclerotic SOL involving C7 RIGHT LAMINA,TRANSVERSE PROCESS,PEDICLE and cord is pushed to left side without any cord changes.PRE OP CT AXIALPRE OP CT SAGGITAL Posterior decompressive cervical laminectomy C6,C7 on Right side done , Bony Space Occupying Lesion identified and drilled with electric drill. C7 ROOT decompressed and C7 spinal canal widened with due care on cord and similarly C6 root also decompressed with due care on vertebral artery.Postoperatively elbow and wrist weakness improved and radicular pain disappeared and right plantar response became flexor.HPE REPORT CONSISTENT WITH OSTEOID OSTEOMA. On CONCLUSION, care must be taken on operating bony Space occupying lesion especially vertebral artery and cervical cord. Moreover stabilisation is not required as bony lesion involves only one side and single dennis brown column.