Cargando…
Aneurysmal Bone Cysts of the Spine in Children: A Review of 18 Cases
STUDY DESIGN: Retrospective study. OBJECTIVE: The aim of this study was to evaluate the clinical presentation, treatments, outcome, complications, and recurrence rate in the surgical and nonsurgical management of spinal aneurysmal bone cyst (ABC) in a series of 18 pediatric patients. METHODS: Betwee...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7485085/ https://www.ncbi.nlm.nih.gov/pubmed/32905733 http://dx.doi.org/10.1177/2192568219881166 |
_version_ | 1783581089721221120 |
---|---|
author | Sayago, Luis R. Remondino, Rodrigo G. Tello, Carlos A. Piantoni, Lucas Francheri Wilson, Ida A. Galaretto, Eduardo Nöel, Mariano A. |
author_facet | Sayago, Luis R. Remondino, Rodrigo G. Tello, Carlos A. Piantoni, Lucas Francheri Wilson, Ida A. Galaretto, Eduardo Nöel, Mariano A. |
author_sort | Sayago, Luis R. |
collection | PubMed |
description | STUDY DESIGN: Retrospective study. OBJECTIVE: The aim of this study was to evaluate the clinical presentation, treatments, outcome, complications, and recurrence rate in the surgical and nonsurgical management of spinal aneurysmal bone cyst (ABC) in a series of 18 pediatric patients. METHODS: Between 1988 and 2014, we evaluated 18 pediatric patients diagnosed with ABC confirmed by pathology studies. We analyzed clinical and radiological features, non-surgical and surgical treatment, outcome, and complications. RESULTS: The series included 12 male and 6 female patients with a mean age of 10 years and 4 months, with a mean follow-up of 5 years. Location of the ABC was lumbar in 8, cervical in 7, thoracic in 2, and sacral in 1 case. Axial pain was the most common symptom followed by radicular involvement. Surgery was performed in the presence of spine instability or neurological involvement (tumor resection) and in the remaining, nonsurgical treatment (percutaneous intralesional injection of methylprednisolone and calcitonin). Recurrence was observed in 4 patients requiring reintervention. There were no procedure-related complications. CONCLUSION: In patients without neurological involvement or spinal instability, nonsurgical treatment is the treatment of choice. Total or subtotal removal combined with posterior instrumented spinal fusion is recommended in cases with a neurological deficit. Both procedures have shown good long-term results. |
format | Online Article Text |
id | pubmed-7485085 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-74850852020-09-17 Aneurysmal Bone Cysts of the Spine in Children: A Review of 18 Cases Sayago, Luis R. Remondino, Rodrigo G. Tello, Carlos A. Piantoni, Lucas Francheri Wilson, Ida A. Galaretto, Eduardo Nöel, Mariano A. Global Spine J Original Articles STUDY DESIGN: Retrospective study. OBJECTIVE: The aim of this study was to evaluate the clinical presentation, treatments, outcome, complications, and recurrence rate in the surgical and nonsurgical management of spinal aneurysmal bone cyst (ABC) in a series of 18 pediatric patients. METHODS: Between 1988 and 2014, we evaluated 18 pediatric patients diagnosed with ABC confirmed by pathology studies. We analyzed clinical and radiological features, non-surgical and surgical treatment, outcome, and complications. RESULTS: The series included 12 male and 6 female patients with a mean age of 10 years and 4 months, with a mean follow-up of 5 years. Location of the ABC was lumbar in 8, cervical in 7, thoracic in 2, and sacral in 1 case. Axial pain was the most common symptom followed by radicular involvement. Surgery was performed in the presence of spine instability or neurological involvement (tumor resection) and in the remaining, nonsurgical treatment (percutaneous intralesional injection of methylprednisolone and calcitonin). Recurrence was observed in 4 patients requiring reintervention. There were no procedure-related complications. CONCLUSION: In patients without neurological involvement or spinal instability, nonsurgical treatment is the treatment of choice. Total or subtotal removal combined with posterior instrumented spinal fusion is recommended in cases with a neurological deficit. Both procedures have shown good long-term results. SAGE Publications 2019-10-16 2020-10 /pmc/articles/PMC7485085/ /pubmed/32905733 http://dx.doi.org/10.1177/2192568219881166 Text en © The Author(s) 2019 https://creativecommons.org/licenses/by-nc-nd/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Articles Sayago, Luis R. Remondino, Rodrigo G. Tello, Carlos A. Piantoni, Lucas Francheri Wilson, Ida A. Galaretto, Eduardo Nöel, Mariano A. Aneurysmal Bone Cysts of the Spine in Children: A Review of 18 Cases |
title | Aneurysmal Bone Cysts of the Spine in Children: A Review of 18 Cases |
title_full | Aneurysmal Bone Cysts of the Spine in Children: A Review of 18 Cases |
title_fullStr | Aneurysmal Bone Cysts of the Spine in Children: A Review of 18 Cases |
title_full_unstemmed | Aneurysmal Bone Cysts of the Spine in Children: A Review of 18 Cases |
title_short | Aneurysmal Bone Cysts of the Spine in Children: A Review of 18 Cases |
title_sort | aneurysmal bone cysts of the spine in children: a review of 18 cases |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7485085/ https://www.ncbi.nlm.nih.gov/pubmed/32905733 http://dx.doi.org/10.1177/2192568219881166 |
work_keys_str_mv | AT sayagoluisr aneurysmalbonecystsofthespineinchildrenareviewof18cases AT remondinorodrigog aneurysmalbonecystsofthespineinchildrenareviewof18cases AT tellocarlosa aneurysmalbonecystsofthespineinchildrenareviewof18cases AT piantonilucas aneurysmalbonecystsofthespineinchildrenareviewof18cases AT francheriwilsonidaa aneurysmalbonecystsofthespineinchildrenareviewof18cases AT galarettoeduardo aneurysmalbonecystsofthespineinchildrenareviewof18cases AT noelmarianoa aneurysmalbonecystsofthespineinchildrenareviewof18cases |