Aneurysmal bone cysts of the vertebrae

作者：Lim Jason Beng Teck^*; Sharma Himanshu; Reid Robin; Reece Anthony Tony

来源：Journal of Orthopaedic Surgery, 2012, 20(2): 201-204.

DOI：10.1177/230949901202000213

• bone cysts, aneurysmal
• curettage
• neoplasm recurrence, local
• spine

Purpose. To review records of 14 patients with aneurysmal bone cysts (ABCs) of the spine. %26lt;br%26gt;Methods. Using the Scottish Bone Tumour Registry for the period of October 1952 to November 2005, records of 9 females and 5 males aged 8 to 63 (mean, 25.3) years who had ABCs of the spine and were followed up for a mean of 7.1 years were reviewed. %26lt;br%26gt;Results. The most commonly involved site was the lumbar vertebrae (n=6), followed by the thoracic (n=4), cervical (n=3), and sacral (n=1) vertebrae. The mean duration of symptoms at presentation was 8.8 (range, 0.3-24) months. The symptoms included gradually increasing pain in the back (n=14), a palpable spinal mass (n=4), spinal deformity (n=2), and neurological deficits (n=5). All the patients underwent surgery: intra-lesional excision (curettage) without bone grafting (n=3), excision (n=7, 2 of whom had adjuvant radiotherapy), and open excisional biopsy (n=4, 2 of whom had iliac crest bone grafting). One patient with a cervical ABC underwent preoperative angiographic embolisation. Another patient with a sacral ABC underwent percutaneous sclerotherapy. Two patients had recurrence. One had recurrence within 4 months and underwent adjuvant radiotherapy; another had recurrence 16.8 years later and underwent repeat curettage. No major complications were encountered. %26lt;br%26gt;Conclusion. Most ABCs of the spine occurred in young females. Intra-lesional excision was an effective treatment.

• 出版日期2012