Reconstruction of C-1 lateral mass with titanium mesh cage after resection of an aneurysmal bone cyst of the atlas

Aneurysmal bone cysts (ABCs) are rare benign tumors with a prevalence of 0.14 cases per 100,000 people. A majority of cases arise during adolescence, and there is a female predominance. This lesion accounts for 1.4% of all primary bone tumors. Aneurysmal bone cysts occur mainly in the long bones, with spinal involvement in 10–30% of cases. Cervical spine ABCs account for about one-third of spinal ABCs, and atlas involvement occurs in 1% of cases. Resection of ABCs at the atlas is difficult because of the location and the lack of proper instrumentation for reconstruction of C-1. The authors present a case of an ABC at C-1 in a child who underwent resection of the lesion and reconstruction of the lateral mass with a titanium mesh cage.

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Aneurysmal bone cyst arising in iliopubic chondromyxoid fibroma – a case report

Clinical surgery research communications ◽

10.31491/csrc.2021.06.074 ◽

2021 ◽

Vol 5 (2) ◽

pp. 10-14

Author(s):

João Soares do Vale ◽

◽

Sara Diniz ◽

Filipe Rodrigues ◽

◽

...

Keyword(s):

Aneurysmal Bone Cyst ◽

Bone Tumors ◽

Bone Cyst ◽

Bone Cysts ◽

Chondromyxoid Fibroma ◽

Primary Bone Tumors ◽

Rare Association ◽

Cartilaginous Tumor ◽

Aneurysmal Bone Cysts ◽

Primary Bone

Chondromyxoid fibroma is rare cartilaginous tumor, accounting for 0.5% of all primary bone tumors and 2% of benign bone tumors. Areas of aneurysmal bone cysts (ABC) may be found within CMF in 8.6% of cases. A 20-year-old man presents pain due to a mass on iliopubic ramus that was diagnosed as an aneurysmal bone cyst arising from a chondromyxoid fibroma. This case confirms the rare association between aneurysmal bone cyst and chondromyxoid fibroma. Although aneurysmal bone cyst is more frequently associated with highly vascularized tumors, it is important to consider the diagnosis in the presence of chondromyxoid fibroma. Keywords: Chondromyxoid fibroma; scecondary aneurysmal bone cyst; iliopubic ramus

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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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Aneurysmal bone cyst in thoracolumbar spine

BJR|case reports ◽

10.1259/bjrcr.20190133 ◽

2020 ◽

Vol 6 (3) ◽

pp. 20190133

Author(s):

Alex Kiu ◽

Tiffany Fung ◽

Pranav Chowdhary ◽

Sungmi Jung ◽

Tom Powell ◽

...

Keyword(s):

Treatment Options ◽

Bone Cyst ◽

Thoracolumbar Spine ◽

Cord Compression ◽

Central Canal ◽

Neurological Deficits ◽

Primary Bone Tumors ◽

Canal Stenosis ◽

Aneurysmal Bone Cysts ◽

Primary Bone

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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Occipital aneurysmal bone cyst rupture following head trauma: case report

Journal of Neurosurgery Pediatrics ◽

10.3171/2014.9.peds14224 ◽

2015 ◽

Vol 15 (3) ◽

pp. 272-275 ◽

Cited By ~ 4

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.

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Treatment of Aneurysmal Bone Cysts with Bioactive Glass in Children

Scandinavian Journal of Surgery ◽

10.1177/1457496917731185 ◽

2017 ◽

Vol 107 (1) ◽

pp. 76-81 ◽

Cited By ~ 4

Author(s):

J. Syvänen ◽

Y. Nietosvaara ◽

I. Kohonen ◽

E. Koskimies ◽

M. Haara ◽

...

Keyword(s):

Bioactive Glass ◽

Aneurysmal Bone Cyst ◽

Bone Growth ◽

Bone Cyst ◽

High Recurrence Rate ◽

Filling Material ◽

Bone Cysts ◽

Primary Bone Tumors ◽

Primary Surgery ◽

Aneurysmal Bone Cysts

Background and Aims: Aneurysmal bone cysts represent about 1% of primary bone tumors. The standard treatment is curettage, followed by local adjuvant treatments and bone grafting. The problem is the high recurrence rate. The purpose of this study was to evaluate retrospectively the use of bioactive glass as a filling material in the treatment of aneurysmatic bone cysts in children. Material and Methods: A total of 18 consecutive children (mean 11.3 years at surgery; 10 males; 11 lower, 6 upper limb, 1 pelvis; 15 with primary surgery) with histologically proven primary aneurysmal bone cysts operated with curettage and bioactive glass filling between 2008 and 2013 were evaluated after a mean follow-up of 2.0 years (range, 0.7–5.1 years). Results: Two (11%) patients showed evidence of aneurysmal bone cyst recurrence and both have been re-operated for recurrence. Bone remodeling was noted in all patients with remaining growth and no growth plate disturbances were recorded. Two patients needed allogeneic blood transfusion. No intraoperative or postoperative complications were recorded. Conclusion: We conclude that bioactive glass is a suitable filling material for children with primary aneurysmal bone cyst. Bioactive glass did not affect bone growth and no side effects were reported.

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A novel anatomic titanium mesh cage for reducing the subsidence rate after anterior cervical corpectomy: a finite element study

Scientific Reports ◽

10.1038/s41598-021-94787-0 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Yuhang Wang ◽

Yi Zhan ◽

Huiming Yang ◽

Hua Guo ◽

Haiping Zhang ◽

...

Keyword(s):

Finite Element ◽

Three Dimensional ◽

Titanium Mesh ◽

Titanium Mesh Cage ◽

Element Analysis ◽

Cervical Corpectomy ◽

Subsidence Rate ◽

Anterior Corpectomy ◽

Mesh Cage ◽

Anterior Cervical Corpectomy

AbstractFusion with a titanium mesh cage (TMC) has become popular as a conventional method after cervical anterior corpectomy, but postoperative TMC subsidence has often been reported in the literature. We designed a novel anatomic cervical TMC to reduce the postoperative subsidence rate. According to the test process specified in the American Society of Testing Materials (ASTM) F2267 standard, three-dimensional finite element analysis was used to compare the anti-subsidence characteristics of a traditional TMC (TTMC) and novel TMC (NTMC). Through analysis, the relative propensity values of a device to subside (Kp) of the TTMC and NTMC were 665.5 N/mm and 1007.2 N/mm, respectively. A higher Kp measurement is generally expected to indicate that the device is more resistant to subsidence into a vertebral body. The results showed that the novel anatomic titanium mesh cage (NTMC) significantly improved the anti-subsidence performance after anterior cervical corpectomy and fusion (ACCF), which was approximately 51.3% higher than that of the traditional titanium mesh cage.

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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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