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Aneurysmal bone cysts of the spine
The Journal of Bone and Joint Surgery. British Volume
|August 1, 1978
Summary
Aneurysmal bone cysts are rare spinal lesions, with a new report adding 14 cases. The lumbar region and neural arch are most commonly affected, requiring surgical treatment.
Area of Science:
- Orthopedics
- Oncology
- Spinal Surgery
Background:
- Aneurysmal bone cysts (ABCs) are uncommon bone lesions.
- Spinal involvement by ABCs is particularly rare.
- Previous literature documented 78 cases of spinal ABCs.
Purpose of the Study:
- To report an additional 14 cases of spinal aneurysmal bone cysts.
- To analyze the epidemiological and anatomical characteristics of spinal ABCs.
- To review and recommend optimal treatment strategies for spinal ABCs.
Main Methods:
- Literature review of previously reported cases.
- Analysis of 14 newly diagnosed cases of spinal ABCs.
- Retrospective case series analysis.
Main Results:
- The study adds 14 new cases to the 78 previously reported spinal ABCs.
- A strong predilection for the lumbar spine region was observed.
- The neural arch was identified as the most frequently affected vertebral part.
Conclusions:
- Total excision is the recommended treatment for spinal ABCs.
- Curettage is a viable alternative when complete excision is not feasible.
- Radiotherapy is reserved for cases where surgical intervention is not advisable.