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

Aneurysmal 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<br />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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Surgical Treatment of an Aneurysmal Bone Cyst in a Dog

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.1055/s-0038-1632459 ◽

1995 ◽

Vol 08 (04) ◽

pp. 213-217 ◽

Cited By ~ 5

Author(s):

J. N. Chambers ◽

S. M. Newell ◽

J. M. Duval

Keyword(s):

Surgical Treatment ◽

Cancellous Bone ◽

Aneurysmal Bone Cyst ◽

Bone Grafting ◽

Bone Cyst ◽

Distal Tibia ◽

Bone Cysts ◽

Cancellous Bone Grafting ◽

Lytic Lesions ◽

Aneurysmal Bone Cysts

Aneurysmal bone cysts are benign but locally aggressive lytic lesions of bone. Surgical curettage and cancellous bone grafting resulted in complete clinical and partial radiographic resolution of an aneurysmal bone cyst of the distal tibia.

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Aneurysmal Bone Cyst of the Atlas: Successful Treatment through Selective Arterial Embolization: Case Report

Neurosurgery ◽

10.1227/01.neu.0000137279.58768.7e ◽

2004 ◽

Vol 55 (4) ◽

pp. E1001-E1005 ◽

Cited By ~ 42

Author(s):

A Alex Mohit ◽

Joseph Eskridge ◽

Richard Ellenbogen ◽

Christopher I. Shaffrey

Keyword(s):

Successful Treatment ◽

Bone Cyst ◽

Arterial Embolization ◽

Craniovertebral Junction ◽

Cystic Mass ◽

High Morbidity ◽

Surgical Morbidity ◽

Complete Excision ◽

Selective Arterial Embolization ◽

Aneurysmal Bone Cysts

Abstract OBJECTIVE AND IMPORTANCE: Aneurysmal bone cysts (ABCs) are benign and expansile osteolytic lesions that can occur in any location in the spine, including the craniovertebral junction. Aggressive resection followed by bone grafting has been the mainstay of treatment, with selective arterial embolization as a presurgical adjunct. Complete excision of these lesions at the craniovertebral junction is associated with high surgical morbidity. We report a case of successful treatment of an ABC of the atlas in a child with selective arterial embolization alone. CLINICAL PRESENTATION: A 10-year-old girl presented with persistent neck pain after a snowboarding accident. Computed tomography and magnetic resonance imaging of the cervical spine revealed an expansile cystic mass involving the right lateral mass of C1. Digital subtraction angiography revealed a tumor blush, which, along with the cystic appearance of the lesion, was consistent with an ABC. INTERVENTION: The arterial feeders to the lesion were selectively embolized with polyvinyl alcohol particles. Three sessions of embolization were required to eradicate the blood supply to the lesion completely. CONCLUSION: Complete surgical resection of ABCs at the craniovertebral junction can be associated with high morbidity secondary to the highly vascular and destructive nature of these lesions. The case discussed here demonstrates the viability of selective arterial embolization as a primary and stand-alone modality of treatment.

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Pathological fracture through a C-6 aneurysmal bone cyst

Journal of Neurosurgery Spine ◽

10.3171/spi.2001.94.2.0302 ◽

2001 ◽

Vol 94 (2) ◽

pp. 302-304

Author(s):

Takeshi Kanamiya ◽

Yasushi Asakawa ◽

Masatoshi Naito ◽

Toyonobu Yoshimura ◽

Teruto Isayama

Keyword(s):

Aneurysmal Bone Cyst ◽

Pathological Fracture ◽

Bone Cyst ◽

Young Patients ◽

Complete Resection ◽

Anterior Fusion ◽

Bone Cysts ◽

Two Stage ◽

Content Type ◽

Aneurysmal Bone Cysts

✓ The authors describe the case of an 18-year-old man who presented with complaints of weakness and paresis in his arms following an injury. Radiological examination demonstrated an aneurysmal bone cyst of C-6. The patient underwent a two-stage operation. Satisfactory results were obtained after complete resection of the lesion, laminoplasty, and anterior fusion without placement of instrumentation. The authors consider a two-stage operation supplemented by fusion without instrumentation to be the best treatment for young patients with aneurysmal bone cysts occurring at C-6.

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A rare case of an expansile spinopelvic aneurysmal bone cyst managed with embolization, excision, and fusion

Surgical Neurology International ◽

10.25259/sni_1045_2021 ◽

2021 ◽

Vol 12 ◽

pp. 580

Author(s):

Rudra Mangesh Prabhu ◽

Tushar N. Rathod ◽

Akash Vasavda ◽

Shivaprasad S. Kolur ◽

Punit Tayade

Keyword(s):

Bone Cyst ◽

Arterial Embolization ◽

Surgical Excision ◽

Osteolytic Lesions ◽

Selective Arterial Embolization ◽

Lower Back ◽

Spinopelvic Fixation ◽

Aneurysmal Bone Cysts ◽

Vertebral Bodies ◽

Neurologically Intact

Background: Aneurysmal bone cysts (ABC) are benign osteolytic lesions of the metaphyseal regions of long bones that typically contribute to rapid bony expansion. Here, we present an ABC involving the spinopelvic region in a 15-year-old male that required embolization, surgical excision, and fusion. Case Description: A 15-year-old male, presented with gradually progressive painful lower back swelling of 4 months’ duration. Once the diagnosis of an ABC was established based on a combination of X-ray, MR, and CT studies, he underwent selective arterial embolization, extended surgical excision (i.e. curettage), with a posterior fusion. Two years postoperatively, the patient remained neurologically intact without radiographic evidence of lesion recurrence. Conclusion: Large expansile ABC involving the vertebral bodies should be managed with preoperative selective arterial embolization, surgical decompression/curettage, and spinopelvic fixation.

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Selective arterial embolization of 36 aneurysmal bone cysts of the skeleton with N-2-butyl cyanoacrylate

Skeletal Radiology ◽

10.1007/s00256-009-0757-z ◽

2009 ◽

Vol 39 (2) ◽

pp. 161-167 ◽

Cited By ~ 62

Author(s):

Giuseppe Rossi ◽

Eugenio Rimondi ◽

Tommaso Bartalena ◽

Antonio Gerardi ◽

Marco Alberghini ◽

...

Keyword(s):

Arterial Embolization ◽

Bone Cysts ◽

Selective Arterial Embolization ◽

Aneurysmal Bone Cysts

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Aneurysmal Bone Cyst: A Review of 150 Patients

Journal of Clinical Oncology ◽

10.1200/jco.2005.15.255 ◽

2005 ◽

Vol 23 (27) ◽

pp. 6756-6762 ◽

Cited By ~ 222

Author(s):

Henry J. Mankin ◽

Francis J. Hornicek ◽

Eduardo Ortiz-Cruz ◽

Jorge Villafuerte ◽

Mark C. Gebhardt

Keyword(s):

Aneurysmal Bone Cyst ◽

Local Recurrence Rate ◽

Bone Cyst ◽

Secondary Development ◽

Bone Cysts ◽

Resonance Imaging ◽

Imaging Studies ◽

Treatment Protocols ◽

Imaging Appearance ◽

Aneurysmal Bone Cysts

PurposeWe have reviewed a series of 150 aneurysmal bone cysts treated over the last 20 years.Patients and MethodsThe lesions were principally located in the tibia, femur, pelvis, humerus, and spine and, in most cases, presented the imaging appearance originally described by Jaffe and Lichtenstein as a blowout with thin cortices.ResultsOnly one of the patients was believed to have an osteoblastoma of the spine with secondary development of an aneurysmal bone cyst, and none of the patients developed additional lesions. The patients were treated primarily with curettage and implantation of allograft chips or polymethylmethacrylate, but some patients were treated with insertion of autografts or allografts. The local recurrence rate was 20%, which is consistent with that reported by other centers.ConclusionAneurysmal bone cysts are enigmatic lesions of unknown cause and presentation and are difficult to distinguish from other lesions. Overall, the treatment is satisfactory, but it is possible that newer approaches, such as improved magnetic resonance imaging studies, may help diagnose the lesions and allow the physicians to plan for more effective treatment protocols.

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Aneurysmal Bone Cyst Involving the Pisiform: A Case Report

Hand ◽

10.1177/1558944716670615 ◽

2016 ◽

Vol 12 (5) ◽

pp. NP55-NP57

Author(s):

Eduardo P. Zancolli ◽

John M. Ranson ◽

Sunil M. Thirkannad

Keyword(s):

Bone Cyst ◽

Pathologic Fracture ◽

Surgical Excision ◽

Subsequent Treatment ◽

Uneventful Recovery ◽

Bone Cysts ◽

Primary Bone Tumors ◽

Ulnar Nerve Compression ◽

Left Hand ◽

Aneurysmal Bone Cysts

Background: Aneurysmal bone cysts are an uncommon form of benign primary bone tumors; affection of the hand is very rare. Methods: A rigorous review of the literature showed that this type of tumor has not previously been described in the pisiform. In this article, we report the occurrence of an aneurysmal bone tumor in the pisiform of the left hand of a 19-year-old male. Results: This tumor was successfully treated through surgical excision with an uneventful recovery. We describe the process behind the diagnosis of the lesion and the subsequent treatment in an attempt to highlight the rare but possible occurrence of aneurysmal bone cysts in the pisiform. Conclusion: Appropriate treatment of aneurysmal bone cysts in this location is required, due to the anatomical nature of the pisiform itself with the risks of pathologic fracture and ulnar nerve compression.

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Recent Trends in the Management of Aneurysmal Bone Cyst

QJM ◽

10.1093/qjmed/hcab104.008 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Rafeek Ahmed Sadek ◽

Ashraf Mohamed El Seddawy ◽

Hussein Mohamed Ahmed Gomaa

Keyword(s):

Aneurysmal Bone Cyst ◽

Healing Rate ◽

Bone Cyst ◽

Case Series ◽

Treatment Modalities ◽

Thin Wall ◽

Bone Cysts ◽

Large Hole ◽

Aneurysmal Bone Cysts ◽

Complications Rate

Abstract Background Aneurysmal bone cysts (ABCs), were first described by Drs. Jaffe and Lichenstein in 1942 when they described pelvic and spine lesions that when exposing the lesion and opening in to its thin wall, the surgeon was immediately confronted by a large hole containing much fluid blood. Aim of the Work To describe the efficacy of new line treatment modalities of (Aneurysmal Bone Cysts) compared to conventional lines of management regarding the: • Long term outcomes and healing rate. • Recurrence rates. • Complications after therapy. Patients and Methods Criteria for considering studies for this review: • Types of the studies: published observational analytical studies (case-control_ case-series _ RCT or cohort studies) which studied the efficiency of new lines in the management of aneurysmal bone cyst. • Types of participants: participants were children and young age (below the age of 50 yrs) with a diagnosis of aneurysmal bone cyst. • Types of interventions: drugs like (Bisphosphonate or denosumab) were administered for a time determined by the case improvement, or minimally invasive techniques like (cryosurgery or curopsy) was done. Results Through the results of our study that compared between these recent modalities according to healing, recurrence, and complications rate; we are able to say that recent strategies have a high rate of healing ranges from 78.57% with bisphosphonate to 100% with doxycycline and cryotherapy. Conclusion There are recent evolving trends in the management of ABC other than the classic ways of management, they are less invasive, have less recurrence rate reaches to 0 % like with bisphosphonate, less complications rate as well reaches to 0 % like with doxycycline and bisphosphonate, high healing rate reaches to 100 % like with doxycycline and taking in consideration how to handle cases of ABC that classic way of management can’t handle like spinal ABC.

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