Aneurysmal Bone Cyst Presenting as a Pathologic Fracture in a 12-Year-Old Football Player

Welk, Aaron B.; Norman, W Kettner

doi:10.1016/j.jcm.2014.01.003

Cited by 5 publications

(4 citation statements)

References 17 publications

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“…Among the cervical-level injuries, only one case presented complications, specifically marked as kyphosis. The surgical treatment chosen in the study of Welk et al involved curettage, laminectomy, and the application of a rigid collar; only after developing the complication, the patient underwent osteosynthesis [42]. Kyphosis arises due to the removal of the posterior elements, which contribute significantly to bearing of the cervical weight.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, when there is more extensive removal of the lamina and disruption to the apophyseal joint capsule, the risk of acquiring kyphosis increases. This risk is particularly heightened in pediatric patients due to their cervical ligamentous structures exhibiting greater laxity compared to adults [42]. In a case series conducted by Mehlman et al, it was found that 45% of pediatric patients who underwent a laminectomy developed spinal deformities.…”

Section: Discussionmentioning

confidence: 99%

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Pathological Fractures in Aneurysmal Bone Cysts: A Systematic Review

Costa,

Gabrielli,

Cerrone

et al. 2024

JCM

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Background: Aneurysmal bone cysts (ABCs) are osteolytic, non-malignant, vascular lesions of the bone. Pathological fractures can be a manifestation of the ABCs, which occur in about 8% of ABCs. Different treatments have been described in the literature, but, nowadays, an optimal management of the pathological fractures in patients with ABCs is still a matter of debate and there are no standard guidelines for treatment nor any shared indication about the best surgical intervention. The aim of our study is to review the current literature available on this matter exploring and confronting different surgical treatments for pathological fractures in ABC in order to clarify the surgical approach to these patients. Methods: A systematic review of the literature indexed in PubMed, MEDLINE, and Cochrane Library databases was carried out. The Preferred Reporting Items for Systematically Reviews and Meta-Analyses (PRISMA) were followed. Results: A total of 37 articles were relevant and were finally included in the study. In total, we reached a population of 140 patients. Of the 140 patients included in the review, 124 patients (88.6%) underwent curettage surgery, 15 patients (10.7%) underwent en bloc resection surgery. A total of 47% of patients (70) underwent synthesis surgery with a plate, screw, nail, or external fixator. Adjuvant treatments were used in 8.6% of patients (12). Complications involved 20.7% of the patients (29). Conclusions: In conclusion, the treatment of pathological fractures in aneurysmal bone cysts requires careful patient assessment, considering factors such as age, the presence of open growth plates, the location of the lesion, and the surgeon’s expertise.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Pathological Fractures in Aneurysmal Bone Cysts: A Systematic Review

Costa,

Gabrielli,

Cerrone

et al. 2024

JCM

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“…It is commonly located in the metaphyseal end of long bones. [1] Most common bone to be affected is the proximal part of femur. [2] It causes extensive weakening of the bony structure and impinging on the surrounding tissues.…”

Section: Introductionmentioning

confidence: 99%

“…The following treatment modalities are used for ABC such as curettage with or without bone grafting, arterial embolization, adjuvant radiotherapy, demineralized bone, sclerosing agents, matrix applications, and segmental or en bloc resections. [1]…”

Section: Introductionmentioning

confidence: 99%

A Case Report: Aneurysmal Bone Cyst Of Proximal Femur With Subtrochanteric Femur Fracture In A Child

Lohiya¹,

Dudhekar²,

Vasavada³

et al. 2022

Journal of Pharmaceutical Negative Results

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Aneurysmal bone cysts are blood-filled lesions of the bone that are benign, expansile, aggressive, and locally damaging. They havean atypical presentation and an unknown etiology. We present the case of a 17-year-old male youngster who appeared with a historyof trauma that resulted in a pathological left femur fracture. A subtrochanteric fracture complicated a slowly forming aneurysmalbone cyst in the proximal femur. Excision of the tumor with curettage and open reduction with internal fixation with a titanium elasticnail were successful treatments, and the empty space was replaced with bone graft from the left iliac crest. The gold standard fordiagnosis is a biopsy. Bone grafting should be used in conjunction with fracture fixation to achieve bony union.

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Cervical Spine Aneurysmal Bone Cysts in the Pediatric Population: A Systematic Review of the Literature

Protas¹,

Jones²,

Sardi³

et al. 2017

Pediatr Neurosurg

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Cervical spine aneurysmal bone cysts (ABCs) in pediatric patients have not been thoroughly studied. Using PubMed and Google Scholar, a systematic review of the literature was conducted for publications that included patients aged ≤15 years with a confirmed diagnosis of ABC in the cervical spine. Thirty-five studies with a total of 71 patients met the inclusion criteria. Nearly 80% of patients presented with neck or shoulder pain. The axis was the level most frequently involved (34.28%), followed by C5 (24.28%). Posterior elements were most likely to be affected (88.46%) while exclusive involvement of the body was uncommon. To our knowledge, this is the first systematic review of the literature regarding ABCs of the cervical spine in a pediatric population. Spinal ABCs are rarely found in the cervical region, and their treatment remains challenging due to their location, vascularization, and a high overall recurrence rate even with surgical resection.

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Aneurysmal Bone Cyst Presenting as a Pathologic Fracture in a 12-Year-Old Football Player

Abstract: Aneurysmal bone cysts are rare lesions. In this case, the initial traumatic history masked the underlying pathology. Although rare, pathologic fracture should be considered in cases of vertebral fracture in young patients.

Cited by 5 publications

References 17 publications

Pathological Fractures in Aneurysmal Bone Cysts: A Systematic Review

Pathological Fractures in Aneurysmal Bone Cysts: A Systematic Review

A Case Report: Aneurysmal Bone Cyst Of Proximal Femur With Subtrochanteric Femur Fracture In A Child

Cervical Spine Aneurysmal Bone Cysts in the Pediatric Population: A Systematic Review of the Literature

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