Abstract
Aneurysmal bone cysts (ABCs) are benign bone lesions arising mostly in the pediatric population that can cause local pain, swelling, and pathologic fracture. It is occasionally an aggressive benign lesion whose treatment of choice is complete resection, even though the risk of profuse intraoperative bleeding exists. We here report a case of spinal aneurysmal bone cyst treated by surgery and adjuvant radiotherapy.
Highlights
An aneurysmal bone cyst is a benign, locally proliferative vascular bone disorder that occurs in children and adolescents [1]
Long bones are more frequently involved in the metaphysis, but approximately 12% to 30% of lesions involve the spine
The name of Aneurysmal bone cysts (ABCs) is a misnomer because they lack endothelial wall and are neither cystic nor aneurysmal
Summary
An aneurysmal bone cyst is a benign, locally proliferative vascular bone disorder that occurs in children and adolescents [1]. Long bones are more frequently involved in the metaphysis, but approximately 12% to 30% of lesions involve the spine. In spine lumbar region is the most common site, followed by the thoracic spine and cervical spine [2], [3]. Treatment of aneurysmal bone cysts are excision, curettage, and bone grafting, as they are hypervascular, there is a risk of excessive bleeding. The problem encountered is obtaining adequate stabilization of the spine [4]. We here report a case of spinal aneurysmal bone cyst treated by surgery and adjuvant radiotherapy. Lesion was extending into right psoas and right erector spinae muscle (Fig. 1)
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