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

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.

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

Neurosurgery ◽  
2004 ◽  
Vol 55 (4) ◽  
pp. E1001-E1005 ◽  
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.

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

2015 ◽  
Vol 28 (6) ◽  
pp. 780 ◽  
Author(s):  
Joaquim Soares do Brito ◽  
José Portela
Keyword(s):  
Surgical Treatment ◽  
Adjuvant Treatment ◽  
Surgical Approach ◽  
Bone Cyst ◽  
Young Patients ◽  
Arterial Embolization ◽  
Bloc Resection ◽  
Bone Cysts ◽  
Selective Arterial Embolization ◽  
Aneurysmal Bone Cysts

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.

scholarly journals Aneurysmal Bone Cyst Involving the Pisiform: A Case Report

Hand ◽  
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.

Efficacy and Safety of Selective Arterial Embolization in the Treatment of Aneurysmal Bone Cyst of the Mobile Spine

Spine ◽  
2017 ◽  
Vol 42 (15) ◽  
pp. 1130-1138 ◽  
Author(s):  
Silvia Terzi ◽  
Alessandro Gasbarrini ◽  
Mario Fuiano ◽  
Giovanni Barbanti Brodano ◽  
Riccardo Ghermandi ◽  
...  
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Arterial Embolization ◽  
Efficacy And Safety ◽  
Selective Arterial Embolization ◽  
Mobile Spine

Aneurysmal bone cyst of the acromion treated by selective arterial embolization

2011 ◽  
Vol 20 (5) ◽  
pp. 354-358 ◽  
Author(s):  
Andreas F. Mavrogenis ◽  
Giuseppe Rossi ◽  
Eugenio Rimondi ◽  
Pietro Ruggieri
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Arterial Embolization ◽  
Selective Arterial Embolization

Selective Arterial Embolization (SAE) in Aneurysmal Bone Cyst (ABC)

2021 ◽  
Vol 28 (4) ◽  
pp. 743
Author(s):  
Emre Celebioglu ◽  
Mustafa Karaca ◽  
Kerem Basarir ◽  
Huseyin Yildiz ◽  
Sadik Bilgic
Keyword(s):  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Arterial Embolization ◽  
Selective Arterial Embolization

scholarly journals Occipital aneurysmal bone cyst rupture following head trauma: case report

2015 ◽  
Vol 15 (3) ◽  
pp. 272-275 ◽  
Author(s):  
Sarah T. Garber ◽  
Jay K. Riva-Cambrin
Keyword(s):  
Case Report ◽  
Bone Cyst ◽  
Minor Trauma ◽  
Osteolytic Lesions ◽  
Primary Bone Tumors ◽  
Aneurysmal Bone Cysts ◽  
Life Threatening ◽  
Trauma Case ◽  
Primary Bone ◽  
Cyst Rupture

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.

scholarly journals Denosumab: A potential new treatment option for recurrent Aneurysmal Bone Cyst of the spine

SICOT-J ◽  
2019 ◽  
Vol 5 ◽  
pp. 10 ◽  
Author(s):  
Arvind G. Kulkarni ◽  
Ankit Patel
Keyword(s):  
Local Recurrence ◽  
Human Monoclonal Antibody ◽  
Bone Cyst ◽  
Surgical Excision ◽  
Long Term Results ◽  
Osteolytic Lesions ◽  
Short Period ◽  
New Treatment

ABCs are expansile osteolytic lesions typically containing blood-filled spaces separated by fibrous septae. Standard treatment includes surgical resection or curettage and packing; however, for some spinal lesions, the standard approach is not optimal. One therapeutic strategy is to treat spinal ABC with an agent that targets a pathway that is dysregulated in a disease with similar pathophysiology. Denosumab, a human monoclonal antibody to RANKL is effective in the treatment of GCT's. Spinal ABCs are a therapeutic challenge and local recurrence is a concern. We report a case of aggressive recurrent ABC of dorsal spine in a 14-year old female with progressive neurologic deficit who underwent surgical excision and decompression with a recurrence in a short period for which a decompression and fixation was done. She had a recurrence after an asymptomatic period of 6 months and neurologic worsening. Having ruled out use of embolization and radiotherapy, a remission was achieved by treatment with Denosumab using the regimen for GCTs for a duration of 6 months. Follow-up MRI and CT scans at 24 months following inception of Denosumab depicted complete resolution and no recurrence. We conclude that Denosumab can result in symptomatic and radiological improvement in the recurrent locally aggressive ABC and may be useful in selected cases. Long-term results are mandatory to confirm the efficacy of Denosumab and to evaluate local recurrence after stopping Denosumab.

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