Aneurysmal Bone Cysts of the Spine: Two Case Reports

Özdemir, Seymen; Yaldız, Can; Özden, Ferhat; Kaçıra, Özlem Kıtıki; Kacira, Tibet

doi:10.14245/kjs.2014.11.4.249

Cited by 6 publications

(5 citation statements)

References 3 publications

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“…ABC are non neoplastic expansile bone lesion consisting of blood filled spaces separated by connective tissue septa of bony trabeculation and osteoclastic giant cells [6]. Similar to our case it is seen more commonly in young females.…”

Section: Discussionsupporting

confidence: 83%

“…Patients usually presents with back pain [4] however limb weakness and gait ataxia are not uncommon [5]. Treatment options of ABC is still controversial ranging from conservative management with analgesic, intra lesional steroid injection, calcitonin nasal spray to arterial embolisation , surgical curettage , resection and radiotherapy [6,7,8].…”

Section: Introductionmentioning

confidence: 99%

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Aneurysmal bone cyst of dorsal spine presenting with paraparesis in a pediatric patient: a case report

Ghosh¹,

Mukherjee²,

Singh³

2023

Ukr Neurosurg J

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Introduction: Aneurysmal bone cyst (ABC) are rare benign tumours of spine. They most commonly presents with backache. However neurological deficit in spinal ABCs are not uncommon. Magnetic resonance imaging of ABC may sometimes be confused with osteosarcoma or Giant cell tumours. Treatment options are varied but complete excision of tumour with spine stabilisation should be the goal. Clinical case: Here we presented the case of a 13 year old girl presenting with spastic paraparesis and bladder incontinence with MRI dorsal spine suggestive of an expansile lesion of D5 body. She underwent subtotal corpectomy with fixation of spine . Biopsy was suggestive of aneurysmal bone cyst. Post operative neurological outcome was excellent and followup scans over 2 year period suggest complete remission. Discussion: ABC are non neoplastic expansile bone lesion consisting of blood filled spaces separated by connective tissue septa of bony trabeculation and osteoclastic giant cells. Similar to our case it is seen more commonly in young females. Lumbar spine has higher incidence of ABC as compared to dorsal and cervical spine. Most common presentation is backache. Surgical options for ABC include intralesional curettage, en bloc resection followed by fixation. Vertebroplasty is also a treatment option to reinforce spinal stability. Post operative radiotherapy also can be considered in partially resected cases. Although ABC have high recurrence rate of 10-44% which has been reported with 2 years following surgery. However our patients continue to have no radiological evidence of recurrence on 2 year follow up. Conclusion: ABCs are benign tumour which may present with neurological deficit. Although treatment of ABC remains controversial but early surgery with complete removal of tumour in patients with neurological deficit provides excellent recovery. However due to high recurrence rate regular follow up is necessary.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Aneurysmal bone cyst of dorsal spine presenting with paraparesis in a pediatric patient: a case report

Ghosh¹,

Mukherjee²,

Singh³

2023

Ukr Neurosurg J

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“…Paresthesia, paresis and abnormal gait are common neurological manifestations when the spine is involved. 6,7 However, we present a case of a female with non-specific back pain and no other significant neurological symptoms. She had no evidence of pathological fracture or progressive paraplegia which would raise the usual red flags for an underlying aggressive process.…”

Section: Discussionmentioning

confidence: 93%

Aneurysmal bone cyst in thoracolumbar spine

et al. 2020

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Aneurysmal bone cysts (ABC) are rare, benign primary bone tumors. Although benign, they can be locally aggressive resulting in erosion of bone and surrounding tissues over time. In later stages, depending on the clinical urgency, immunotherapy or surgical resection remain treatment options. This report illustrates a case of a 32-year-old female who presented with chronic worsening low back pain without neurological deficits. Radiological imaging revealed a large destructive mass arising from the thoracic spine invading into the central canal, causing critical central stenosis and cord compression. Histopathology revealed ABC. This case highlights the importance of including ABCs and other ‘benign’/locally aggressive lesions in the differential of patients with insidious musculoskeletal complaints. This case also demonstrates that one can be neurologically asymptomatic despite having critical central canal stenosis and cord compression if the causative lesion is slow growing. Understanding this allows us to arrange for most appropriate management.

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“…Non-neoplastic ABCs are expansile bone lesions that possess connective tissue septa, which contain bone trabeculation and osteoclastic giant cells [ 7 ]. Roentgenographic and CT scans show an osteolytic lesion that causes the cortical bone around it to grow and shrink.…”

Section: Discussionmentioning

confidence: 99%

A Bone Cyst in the Cervical Region of the Vertebral Column: A Report of a Rare Case

Sandougah

2023

Cureus

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Of all primary spine tumors, 15% are benign osteolytic lesions known as aneurysmal bone cysts (ABCs). Owing to the involvement of surrounding neurovascular structures and the potential for cervical spine instability, ABCs in the cervical spine represent a relatively uncommon clinical entity with surgical resection that is extremely challenging. This report details a case of an ABC in the cervical spine affecting a 10-year-old child who presented at the Medical Services Center at Imam Muhammad Ibn Saud Islamic University. The patient manifested with neck pain, a history of trauma, limitations in cervical motion, and neurological changes over the course of clinical follow-up. Diagnostic measures included radiography and computed tomography. The child underwent surgery to stabilize the cervical spine and to excise both the tumor and the affected vertebrae. Given the high recurrence rate of previously described lesions, various additional techniques have been utilized in conjunction with surgical resection, such as radiation and embolization. This paper further discusses the patient's progress, the chosen treatment, and the range of available options. More research is needed to develop evidence-based treatment plans for cervical spine ABCs in younger patients.

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Aneurysmal Bone Cysts of the Spine: Two Case Reports

Cited by 6 publications

References 3 publications

Aneurysmal bone cyst of dorsal spine presenting with paraparesis in a pediatric patient: a case report

Aneurysmal bone cyst of dorsal spine presenting with paraparesis in a pediatric patient: a case report

Aneurysmal bone cyst in thoracolumbar spine

A Bone Cyst in the Cervical Region of the Vertebral Column: A Report of a Rare Case

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