[Pathological fractures in childhood and adolescence in benign and semi-malignant bone tumors and tumorous and...

The article reports on etiology, clinics and treatment of pathological fractures caused by benign, semimalign bone tumors as well as tumorlike lesions and inflammatory bone alterations in childhood. Our patients treated between the years of 1972 and 1986 were reexamined and the results reconsidered thoroughly. Of 47 children with pathological fractures 38 were treated surgically. The treatment consisted of tumor excision or milling out respectively, perforation of the excavation and its subsequent filling with autologous spongiosa combined with additional stabilization by osteosynthesis. With this surgical therapy 3 recurrent cysts were observed of which one resulted in a refracture. With the majority of the children the pathological fracture lead to the discovery of the tumor.