Treatment of Aneurysmal Bone Cysts of the Pelvis and Sacrum

Papagelopoulos, Panayiotis J.; Choudhury, Sambhu N.; Frassica, Frank J.; Bond, Jeffrey R.; Unni, K. Krishnan; Sim, Franklin H.

doi:10.2106/00004623-200111000-00009

Cited by 115 publications

(128 citation statements)

References 27 publications

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“…These factors also may have influenced blood loss volume. Other potential risk factors for blood loss during sacral tumor resection were derived primarily from our experience and a review of the literature [1,6,9,10,14,16,17,24,26] and were patient surgical factors. The patient risk factors included age and gender, blood supply, location of the tumor, whether the patient had surgery or radiation therapy before the current surgery, and tumor volume.…”

Section: Methodsmentioning

confidence: 99%

Risk Factors for Blood Loss During Sacral Tumor Resection

Tang

Guo

Yang

et al. 2008

Clin Orthop Relat Res

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Extensive hemorrhage is a serious complication during sacral tumor resection. Identifying the risk factors predicting the possibility of extensive hemorrhage would be important to predict which patients would need large amounts of transfused blood intraoperatively and postoperatively and which patients would need blood control by vascular occlusion. We retrospectively reviewed 173 patients who underwent sacral tumor resection performed at our institute between 2003 and 2007. Patients with an estimated total blood loss greater than 3000 mL were classified as having a large amount of blood loss. Sixtynine (39.88%) patients had blood loss greater than 3000 mL. Male gender, excessive tumor blood supply, tumors involving the S2 body and cephalad to the S2 body, tumor volume greater than 200 cm 3 , aorta occlusion, surgical approach, reconstruction, and operative time were associated with a large amount of blood loss. Tumors cephalad to the S2-S3 disc space (odds ratio, 3.840), tumor volume greater than 200 cm 3 (odds ratio, 3.381), and excessive blood supply (odds ratio, 2.281) independently predicted a large amount of blood loss. Sacral tumors that invaded cephalad to the S2-S3 disc space with a volume greater than 200 cm 3 and an excessive blood supply were likely to have a large amount of blood loss during resection.

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Section: Methodsmentioning

confidence: 99%

Risk Factors for Blood Loss During Sacral Tumor Resection

Tang

Guo

Yang

et al. 2008

Clin Orthop Relat Res

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“…Because of the rare possibility that an ABC may degenerate into a more malignant entity such as an osteosarcoma, radiation alone is no longer recommended as a sole treatment for these lesions. 8,12 Partial excision with adjuvant radiation may be required for lesions that are not amenable to GTR, such as ABCs located in the orbit, paranasal sinuses, or petrous temporal bone.…”

Section: Presentation and Treatmentmentioning

confidence: 99%

“…12 Calcitonin inhibits osteoclastic activity and promotes trabecular bone formation. Methylprednisolone has an antiangiogenesis effect.…”

Section: Presentation and Treatmentmentioning

confidence: 99%

Occipital aneurysmal bone cyst rupture following head trauma: case report

Garber¹,

Riva-Cambrin²

2015

PED

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Aneurysmal bone cysts (ABCs) are benign, expansile, osteolytic lesions that represent 1%–2% of primary bone tumors. Cranial ABCs are even more rare and represent 3%–6% of these unique lesions. The authors describe the case of a 3-year-old girl who presented with an acute posterior fossa epidural hematoma after minor trauma. Imaging workup revealed a previously undiagnosed suboccipital ABC that appeared to have ruptured as a result of her trauma, leading to a life-threatening hemorrhage. To the authors' knowledge, a ruptured ABC has never before been presented in the pediatric literature. In this case report, the authors review the imaging findings, natural history, clinical course, and treatment of these rare lesions.

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“…[4][5][6][7] Raramente, podemos observar quistos ósseos aneurismáticos que curam de forma espontânea, no entanto, a grande maioria necessita tratamento cirúrgico. 5,8 O comportamento biológico benigno destas lesões permite que sejam preferencialmente aplicadas técnicas cirúr-gicas de curetagem e preenchimento com enxerto ósseo, no entanto, em lesões de maior agressividade está indicada a resseção em bloco.…”

Section: Introductionunclassified

“…5 Estas lesões mais agressivas, habitualmente de grandes dimensões e difíceis de abordar cirurgicamente pela localização e necessidade de reconstrução complexa, levaram ao desenvolvimento de técnicas adjuvantes (ou até mesmo para tratamento primário) como a crioterapia, injeção intralesional de agentes esclerosantes ou embolização arterial seletiva, melhorando a taxa de sucesso no tratamento das lesões, minorando as taxas de recidiva local. [5][6][7]9,10 Este artigo descreve o caso clinico de um doente do género masculino com 19 anos de idade e volumoso quisto ósseo aneurismático localizado sobre o ilíaco direito, tratado com sucesso através de embolização arterial seletiva.…”

Section: Introductionunclassified

Embolização Arterial Seletiva no Tratamento de Volumoso Quisto Ósseo Aneurismático da Bacia

Brito

Portela

2015

Acta Med Port

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RESUMOO quisto ósseo aneurismático corresponde a uma lesão tumoral benigna do aparelho locomotor em idade jovem, que pode adquirir um comportamento biológico agressivo. Estas lesões necessitam frequentemente tratamento cirúrgico através de curetagem e preenchimento com enxerto ósseo, no entanto, em lesões com maior agressividade está indicada a resseção tumoral em bloco. Lesões agressivas apresentam habitualmente grandes dimensões e por vezes são difíceis de abordar cirurgicamente pela localização e necessidade de reconstrução complexa. Neste contexto, a embolização arterial seletiva surge como possibilidade terapêutica adjuvante ou mesmo definitiva. Este trabalho relata um caso paradigmático da utilização da embolização arterial seletiva no tratamento de um volumoso quisto ósseo aneurismático de difícil abordagem cirúrgica. Palavras-chave: Embolização Terapêutica; Ossos Pélvicos; Quistos Ósseos Aneurismáticos. ABSTRACTAneurysmal bone cysts are benign musculoskeletal tumours, which occur in young patients and, occasionally, with aggressive behaviour. Those tumours very often will need surgical treatment with curettage and bone grafting, but for aggressive lesions, in bloc resection is more advisable. Aggressive tumours use to be large and sometimes with difficult surgical approach and demanding complex surgical reconstructions. In this scenario, selective arterial embolization is a possible primary or adjuvant treatment option. This paper presents a paradigmatic case, where selective arterial embolization allowed a successful treatment of a large aneurysmal bone cyst with difficult surgical resolution.

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Treatment of Aneurysmal Bone Cysts of the Pelvis and Sacrum

Cited by 115 publications

References 27 publications

Risk Factors for Blood Loss During Sacral Tumor Resection

Risk Factors for Blood Loss During Sacral Tumor Resection

Occipital aneurysmal bone cyst rupture following head trauma: case report

Embolização Arterial Seletiva no Tratamento de Volumoso Quisto Ósseo Aneurismático da Bacia

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