Figure 3 - available via license: CC BY-NC
Content may be subject to copyright.
Pathological examination of the biopsy specimen showing blood and fibrous cyst walls (arrowhead) with giant cells (arrow). Hematoxylin-eosin staining. Scale bar ¼ 250 mm.
Source publication
Aneurysmal bone cysts (ABCs) rarely trigger pathological fractures. Various surgical and nonsurgical treatments have been reported for this condition. Herein, we present the examination findings and treatment for a 15-year-old girl who initially presented with adolescent idiopathic scoliosis and mild back pain, but subsequently experienced severe b...
Context in source publication
Context 1
... percutaneous transpedicular biopsy at T1 was subsequently performed under radiographic guidance. Pathological examination of the specimen revealed blood and a fibrous cyst wall with giant cells, confirming the diagnosis of an ABC at T1 (Figure 3). Computed tomography (CT) further revealed an enlarged bone, an osteolytic lesion, a thinning cortex, and a loss of cortical continuity of the anterior and posterior elements of the vertebra (Figure 4). ...
Citations
... The difference between this study and previous studies is that they used methylprednisolone and calcitonin in the previous study, whereas, in this study, only methylprednisolone was used. [23][24][25] Methylprednisolone is mostly used for a simple bone cyst. In contrast, many previous studies reported that treatment with steroid injections offers acceptable results in simple bone cysts. ...
Background: Aneurysmal bone cysts (ABCs) are osteolytic, non-malignant, vascular lesions of the bone. Pathological fractures can be a manifestation of the ABCs, which occur in about 8% of ABCs. Different treatments have been described in the literature, but, nowadays, an optimal management of the pathological fractures in patients with ABCs is still a matter of debate and there are no standard guidelines for treatment nor any shared indication about the best surgical intervention. The aim of our study is to review the current literature available on this matter exploring and confronting different surgical treatments for pathological fractures in ABC in order to clarify the surgical approach to these patients. Methods: A systematic review of the literature indexed in PubMed, MEDLINE, and Cochrane Library databases was carried out. The Preferred Reporting Items for Systematically Reviews and Meta-Analyses (PRISMA) were followed. Results: A total of 37 articles were relevant and were finally included in the study. In total, we reached a population of 140 patients. Of the 140 patients included in the review, 124 patients (88.6%) underwent curettage surgery, 15 patients (10.7%) underwent en bloc resection surgery. A total of 47% of patients (70) underwent synthesis surgery with a plate, screw, nail, or external fixator. Adjuvant treatments were used in 8.6% of patients (12). Complications involved 20.7% of the patients (29). Conclusions: In conclusion, the treatment of pathological fractures in aneurysmal bone cysts requires careful patient assessment, considering factors such as age, the presence of open growth plates, the location of the lesion, and the surgeon’s expertise.
In this narrative review, we aim to describe the clinical features, diagnosis, and management of common primary osseous tumors affecting the posterior elements of the spine in children. We searched PubMed, Mendeley, and Google Scholar using the terms primary osseous tumors of the spine in children, tumors of the posterior elements of the spine, and names of individual tumors. The clinical features, investigations, and treatment modalities were analyzed, and a narrative review of the topic was prepared. We have included 54 studies published in the last 20 years. The majority are isolated reports or case series. Tumors of the posterior elements of the spine are rare. They are common in children and the majority of them are benign. Pain and deformity are common presentations. It is better to perform thorough investigations of children complaining of back pain to rule out primary tumors of the posterior elements of the spine.
