Aneurysmal Bone Cyst of the Mobile Spine

Abstract

If confirmed on larger series, selective arterial embolization seems to be the first treatment option for spine aneurysmal bone cyst, because of the low cost-to-benefit ratio. Diagnosis must be certain, based on pathognomonic radiographic pattern or on histologic study.- In case of neurologic involvement, pathologic fracture, technical impossibility of performing embolization, or local recurrence after at least two embolization procedures, complete intralesional excision would be the therapy of choice.

Cervical Spine Aneurysmal Bone Cysts: A Meta-Analysis of 114 Cases and Comparison of Clinical Features between Pediatric and Adult Patients

“…Other suggested reasons are vascular destruction in the bone, improper repair of a traumatic injury involving a subperiosteal hemorrhage, or a hemorrhage secondary to a preexisting pathology (Boriani et al, 2001). Reactive reparative processes are thought to be the cause of secondary ABCs, which are due to existing pathologies such as giant cell tumors, osteoblastomas, or fibrous dysplasias (Boriani et al, 2001). Among the cervical spine ABC cases we studied, 87.5% were reported in patients before the second decade of life, which is slightly higher than that of the rest of the body as reported in the previous literature.…”

“…Both were also much higher than the overall ABC occurrence rate reported in the literature. Trauma has been reported as a primary cause of cervical ABC (Boriani et al, 2001). In our analysis, trauma was the reported cause in 13.04% and 2.56% of the pediatric and adult patients respectively.…”

“…1 and 2). They represent roughly 15% of all primary spine tumors (Ameili, 1985) with a reported incidence rate of 1.4/100.000 (Boriani et al, 2001), and represent the third most frequent benign bone tumor after osteoid osteoma and osteosarcoma (Hay et al, 1978). The incidence of ABC is greatest within the first two decades of life and female patients are slightly more susceptible (Cottalorda et al, 2007).…”

“…Neurological symptoms, especially when they involve the spine, are rare (McDonald et al, 1992;; Mohan et al, 1989). Although ABC can affect all bone types, approximately 10-30% are located in the thoracic and lumbar spine (Boriani et al, 2001). Of these spinal ABC, 2% involve the cervical spine and typically affect the posterior elements (Boriani et al, 2001;; Adkbarnia et al, 1988;; Hay et al, 1978).…”

“…Although ABC can affect all bone types, approximately 10-30% are located in the thoracic and lumbar spine (Boriani et al, 2001). Of these spinal ABC, 2% involve the cervical spine and typically affect the posterior elements (Boriani et al, 2001;; Adkbarnia et al, 1988;; Hay et al, 1978). According to Enneking (1983), ABC are subdivided into three stages (1 to 3).…”