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Aneurysmal bone cyst--clinical and morphological aspects.

Radu Rădulescu¹, Adrian Bădilă, Robert Manolescu

¹Department of Orthopedic Surgery, Bucharest University Hospital, Romania; adrian_emilian_badila@yahoo.com.

Romanian Journal of Morphology and Embryology = Revue Roumaine De Morphologie Et Embryologie

|October 21, 2014

Summary

This summary is machine-generated.

Surgical treatment of aneurysmal bone cysts using curettage and bone grafting shows excellent results with a very low recurrence risk. This effective method is crucial for managing these bone lesions.

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Area of Science:

Orthopedic Surgery
Skeletal Pathology
Bone Tumors

Background:

Aneurysmal bone cysts (ABCs) are benign, expansile bone lesions.
Diagnosis often relies on histopathological examination, with multiple biopsies recommended due to potential precursor lesions.
ABCs are most common in the second decade of life, with a higher prevalence in females.

Purpose of the Study:

To evaluate the outcomes of surgical intervention for aneurysmal bone cysts.
To assess the efficacy of curettage, abrasion, and bone grafting in treating ABCs.

Main Methods:

Surgical treatment involving curettage, abrasion of cavity walls, and filling with morsellized bone grafts (autografts/allografts) or bone substitutes.
31 patients with ABCs underwent surgical procedures.
Histopathological examination confirmed the diagnosis, characterized by blood-filled cystic spaces and fibrous septae.

Main Results:

Macroscopically, 96.77% of lesions were multi-loculated blood-filled cavities.
Graft osteointegration was observed in 24 cases at 12 months post-surgery.
No local recurrence was noted during an average follow-up of six years and four months, with only two cases requiring re-grafting.

Conclusions:

Surgical treatment combining curettage, abrasion, and bone grafting yields highly successful outcomes for aneurysmal bone cysts.
The described surgical technique demonstrates a very low risk of recurrence.
Accurate histopathological diagnosis, including multiple biopsies, is essential for appropriate management.