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Published on: March 14, 2019
Current treatments of primary aneurysmal bone cysts
Jérôme Cottalorda1, Sophie Bourelle
1Orthopaedics Pediatric Surgery Department, University of Medicine, Saint-Etienne, France. j.cotta@mageos.com
Journal of Pediatric Orthopedics. Part B
|April 8, 2006
Summary
Treatment for aneurysmal bone cysts (ABC) varies by lesion characteristics. Curettage is common for active ABC, while embolization and Ethibloc injection offer alternatives, especially for hazardous cases.
Area of Science:
- Orthopedics
- Radiology
- Oncology
Background:
- Aneurysmal bone cyst (ABC) is a rare, benign bone lesion.
- Management strategies for ABC are diverse and depend on several factors.
Purpose of the Study:
- To analyze various treatment modalities for aneurysmal bone cysts.
- To evaluate the effectiveness of different interventions based on lesion characteristics.
Main Methods:
- Literature review of 1256 aneurysmal bone cyst cases.
- Analysis of treatment outcomes for biopsy, curettage, bone grafting, embolization, and Ethibloc injection.
Main Results:
- Inactive ABC may heal with biopsy or curettage.
- Active or aggressive ABC often treated with curettage, bone grafting, and adjuvants.
- Selective arterial embolization and percutaneous Ethibloc injection are valuable for hazardous or alternative treatments.
Conclusions:
- Treatment choice for ABC depends on patient age, lesion location, size, and aggressiveness.
- Spontaneous healing is observed in some pelvic ABC cases, suggesting watchful waiting.
- Ethibloc injection is a reliable alternative to surgery, particularly when operative treatment is hazardous.
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