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Sclerotherapy with polidocanol for treatment of aneurysmal bone cysts: Good results in 37 of 38 consecutive patients

BACKGROUND AND PURPOSE: Recent data suggest that percutaneous sclerotherapy is a safe alternative to surgery for treatment of aneurysmal bone cysts (ABCs). We present our experience of this method. METHODS: We retrospectively analyzed data from 38 consecutive patients treated with repeated injection...

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Autores principales: Brosjö, Otte, Pechon, Pierre, Hesla, Asle, Tsagozis, Panagiotis, Bauer, Henrik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Informa Healthcare 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822137/
https://www.ncbi.nlm.nih.gov/pubmed/24171682
http://dx.doi.org/10.3109/17453674.2013.850013
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author Brosjö, Otte
Pechon, Pierre
Hesla, Asle
Tsagozis, Panagiotis
Bauer, Henrik
author_facet Brosjö, Otte
Pechon, Pierre
Hesla, Asle
Tsagozis, Panagiotis
Bauer, Henrik
author_sort Brosjö, Otte
collection PubMed
description BACKGROUND AND PURPOSE: Recent data suggest that percutaneous sclerotherapy is a safe alternative to surgery for treatment of aneurysmal bone cysts (ABCs). We present our experience of this method. METHODS: We retrospectively analyzed data from 38 consecutive patients treated with repeated injections of polidocanol. Each injection consisted of 2–4 mg polidocanol per kg body weight. Radiological and clinical assessments were performed until healing. RESULTS: All cycts except 1 healed after a median of 4 (1–11) injections. A lesion failed to heal in 1 patient, who was operated. 3 patients experienced minor local inflammatory reactions. INTERPRETATION: Our results show that percutaneus sclerotherapy with polidocanol has high efficacy in the treatment of ABCs, with a low frequency of side effects. Our findings corroborate data presented in previous publications. We believe that the method will be especially valuable in ABCs of the pelvis and sacrum, where surgery is associated with considerable morbidity.
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spelling pubmed-38221372013-11-11 Sclerotherapy with polidocanol for treatment of aneurysmal bone cysts: Good results in 37 of 38 consecutive patients Brosjö, Otte Pechon, Pierre Hesla, Asle Tsagozis, Panagiotis Bauer, Henrik Acta Orthop Article BACKGROUND AND PURPOSE: Recent data suggest that percutaneous sclerotherapy is a safe alternative to surgery for treatment of aneurysmal bone cysts (ABCs). We present our experience of this method. METHODS: We retrospectively analyzed data from 38 consecutive patients treated with repeated injections of polidocanol. Each injection consisted of 2–4 mg polidocanol per kg body weight. Radiological and clinical assessments were performed until healing. RESULTS: All cycts except 1 healed after a median of 4 (1–11) injections. A lesion failed to heal in 1 patient, who was operated. 3 patients experienced minor local inflammatory reactions. INTERPRETATION: Our results show that percutaneus sclerotherapy with polidocanol has high efficacy in the treatment of ABCs, with a low frequency of side effects. Our findings corroborate data presented in previous publications. We believe that the method will be especially valuable in ABCs of the pelvis and sacrum, where surgery is associated with considerable morbidity. Informa Healthcare 2013-10 2013-10 /pmc/articles/PMC3822137/ /pubmed/24171682 http://dx.doi.org/10.3109/17453674.2013.850013 Text en Copyright: © Nordic Orthopaedic Federation http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the source is credited.
spellingShingle Article
Brosjö, Otte
Pechon, Pierre
Hesla, Asle
Tsagozis, Panagiotis
Bauer, Henrik
Sclerotherapy with polidocanol for treatment of aneurysmal bone cysts: Good results in 37 of 38 consecutive patients
title Sclerotherapy with polidocanol for treatment of aneurysmal bone cysts: Good results in 37 of 38 consecutive patients
title_full Sclerotherapy with polidocanol for treatment of aneurysmal bone cysts: Good results in 37 of 38 consecutive patients
title_fullStr Sclerotherapy with polidocanol for treatment of aneurysmal bone cysts: Good results in 37 of 38 consecutive patients
title_full_unstemmed Sclerotherapy with polidocanol for treatment of aneurysmal bone cysts: Good results in 37 of 38 consecutive patients
title_short Sclerotherapy with polidocanol for treatment of aneurysmal bone cysts: Good results in 37 of 38 consecutive patients
title_sort sclerotherapy with polidocanol for treatment of aneurysmal bone cysts: good results in 37 of 38 consecutive patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822137/
https://www.ncbi.nlm.nih.gov/pubmed/24171682
http://dx.doi.org/10.3109/17453674.2013.850013
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