Complete Intra-Lesional Resection for Aneurysmal Bone Cyst of the Spine. A Personal Experience of 15 Consecutive Cases

Background Data: Several methods of treatment have been reported for the management of aneurysmal bone cyst (ABC) of the spine. Incomplete excision has been associated with a high local recurrence rate. Purpose: To review a personal case series of fifteen cases of ABC of the spine treated by complet...

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Autor principal:	Hossam Taha
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2012
Materias:	aneurysmal bone cyst Spine intralesional resection Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/cde755d9a72d4c63827c03896a71f1c1
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spelling	oai:doaj.org-article:cde755d9a72d4c63827c03896a71f1c12021-12-02T00:36:45ZComplete Intra-Lesional Resection for Aneurysmal Bone Cyst of the Spine. A Personal Experience of 15 Consecutive CasesDOI:10.21608/ESJ.2012.37982314-89502314-8969https://doaj.org/article/cde755d9a72d4c63827c03896a71f1c12012-10-01T00:00:00Zhttp://esj.journals.ekb.eg/article_3798.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Several methods of treatment have been reported for the management of aneurysmal bone cyst (ABC) of the spine. Incomplete excision has been associated with a high local recurrence rate. Purpose: To review a personal case series of fifteen cases of ABC of the spine treated by complete intralesional resection and to present the clinical and radiological results. Study Design: Retrospective review of the clinical and radiological data. Patients and Methods: Fifteen patients, 8 males and seven females with mean age of 12.7 years underwent complete intralesional resection of ABC lesions of the spine with reconstruction. All patients presented with local axial spine pain, 60% with radicular pain, 47% with a neurological deficit, 13% with painful scoliosis and 13% had a palpable mass. Thirty three percent had previous attempts at surgical resection. Results: Mean operative time was 6.4 hours and mean estimated blood loss was 1850 ml. Mean follow up was 52.9 months. Eighty six percent of those with a preoperative neurological deficit showed a complete recovery. All patients obtained a solid fusion or were radiologically healed at final follow up (52.9 months). Conclusion: Complete intralesional excision of ABC lesions of the spine is an effective method of treatment. Attention to reconstruction of the spine is mandatory and should be individually tailored to each case. This surgical strategy eliminated local recurrence in this case series. (2012ESJ027)Hossam TahaEgyptian Spine Associationarticleaneurysmal bone cystSpineintralesional resectionNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 4, Iss 1, Pp 11-18 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	aneurysmal bone cyst Spine intralesional resection Neurology. Diseases of the nervous system RC346-429
spellingShingle	aneurysmal bone cyst Spine intralesional resection Neurology. Diseases of the nervous system RC346-429 Hossam Taha Complete Intra-Lesional Resection for Aneurysmal Bone Cyst of the Spine. A Personal Experience of 15 Consecutive Cases
description	Background Data: Several methods of treatment have been reported for the management of aneurysmal bone cyst (ABC) of the spine. Incomplete excision has been associated with a high local recurrence rate. Purpose: To review a personal case series of fifteen cases of ABC of the spine treated by complete intralesional resection and to present the clinical and radiological results. Study Design: Retrospective review of the clinical and radiological data. Patients and Methods: Fifteen patients, 8 males and seven females with mean age of 12.7 years underwent complete intralesional resection of ABC lesions of the spine with reconstruction. All patients presented with local axial spine pain, 60% with radicular pain, 47% with a neurological deficit, 13% with painful scoliosis and 13% had a palpable mass. Thirty three percent had previous attempts at surgical resection. Results: Mean operative time was 6.4 hours and mean estimated blood loss was 1850 ml. Mean follow up was 52.9 months. Eighty six percent of those with a preoperative neurological deficit showed a complete recovery. All patients obtained a solid fusion or were radiologically healed at final follow up (52.9 months). Conclusion: Complete intralesional excision of ABC lesions of the spine is an effective method of treatment. Attention to reconstruction of the spine is mandatory and should be individually tailored to each case. This surgical strategy eliminated local recurrence in this case series. (2012ESJ027)
format	article
author	Hossam Taha
author_facet	Hossam Taha
author_sort	Hossam Taha
title	Complete Intra-Lesional Resection for Aneurysmal Bone Cyst of the Spine. A Personal Experience of 15 Consecutive Cases
title_short	Complete Intra-Lesional Resection for Aneurysmal Bone Cyst of the Spine. A Personal Experience of 15 Consecutive Cases
title_full	Complete Intra-Lesional Resection for Aneurysmal Bone Cyst of the Spine. A Personal Experience of 15 Consecutive Cases
title_fullStr	Complete Intra-Lesional Resection for Aneurysmal Bone Cyst of the Spine. A Personal Experience of 15 Consecutive Cases
title_full_unstemmed	Complete Intra-Lesional Resection for Aneurysmal Bone Cyst of the Spine. A Personal Experience of 15 Consecutive Cases
title_sort	complete intra-lesional resection for aneurysmal bone cyst of the spine. a personal experience of 15 consecutive cases
publisher	Egyptian Spine Association
publishDate	2012
url	https://doaj.org/article/cde755d9a72d4c63827c03896a71f1c1
work_keys_str_mv	AT hossamtaha completeintralesionalresectionforaneurysmalbonecystofthespineapersonalexperienceof15consecutivecases
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Complete Intra-Lesional Resection for Aneurysmal Bone Cyst of the Spine. A Personal Experience of 15 Consecutive Cases

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