Aneurysmal Bone Cyst of the Spine

Abstract

Current treatment recommendations involve preoperative selective arterial embolization, intralesional excision curettage, bone grafting, and fusion of the affected area if instability is present.

Denosumab: a potential new and innovative treatment option for aneurysmal bone cysts

“…An attempt at wide surgical resection may therefore lead only to intralesional curettage, with a risk of recurrence of 10-80 %, most often within the first 6-12 months after initial surgery [12,21]. Additional cavity filling with bone cement, using the heat to destroy residual cells, may reduce the risk of recurrence, but also carries a risk of causing irritation to neural structures.…”

Aneurysmal bone cyst of the mobile spine: the therapeutic role of embolization

“…The current methods of treatment include curettage (intralesional excision) with or without stabilization [4,[15][16][17][18], resection [4,17], intracystic injections [19], and SAE [20]. Several complications were associated to more aggressive modalities of treatment, including massive bleeding, limitation of growth and range of motion in cases of arthrodesis, and even fatal event after resection [8]. The only treatment free of recurrence is ''en bloc'' resection, however, due to the benign histology of the tumor and the good results achieved with other less aggressive treatments, ''en bloc'' resection should be considered an overtreatment and performed only in very selected cases, as in posteriorly located lesions where the amount of bleeding would be less than curettage.…”

“…Options for treating ABCs have included simple curettage with or without bone grafting, complete excision, embolization, radiation therapy, or a combination of these methods [3,4]. Progression to malignancy has been described in the literature after treated with radiation therapy [6][7][8]. Although there are good results regarding the type of treatment, local recurrence has been described within all protocols of therapy and cannot be predicted.…”

“…There are six major retrospective series reports [3,6,8,[10][11][12]. In the previous article published by the senior author [3], a retrospective report on a series of 41 patients that were treated by all sorts of therapeutic modalities, showed that good results can be obtained independently by the type of treatment performed.…”

Descompresión medular e instrumentación en un caso de variante sólida de quiste óseo aneurismático en raquis lumbar

“…Debido a la velocidad de crecimiento presenta riesgo elevado de provocar fractura patológica 4 . La localización de la lesión en el esqueleto axial ocurre en un 25% de los casos, afectándose el arco vertebral posterior con más frecuencia que los cuerpos vertebrales, y especial incidencia en niños y adolescentes, sobre todo en el sexo femenino 13 . Esta lesión lítica puede, además, invadir y destruir estructuras óseas contiguas y producir invasión intraespinal y sintomatología neurológica 16 , La variante sólida es infrecuente presentando, precisamente, predilección por el esqueleto axial, correspondiendo sólo al 6% de los quistes óseos aneurismáticos 1 .…”