Surgical management of aneurysmal bone cysts of the spine.

James K. Liu, Douglas L. Brockmeyer, Andrew T. Dailey, Meic H. Schmidt

Research output: Contribution to journalReview articlepeer-review

54 Scopus citations

Abstract

OBJECT: Aneurysmal bone cysts of the spine are benign, highly vascular osseous lesions of unknown origin that may present difficult diagnostic and therapeutic challenges. They are expansile lesions containing thin-walled, blood-filled cystic cavities that cause bone destruction and sometimes spinal deformity and neurological compromise. The treatment of aneurysmal bone cysts of the spine remains controversial according to the literature. In this review, the authors discuss the clinical manifestations, pathophysiological features, neuroimaging characteristics, and treatment strategies for these lesions. METHODS: Treatment options include simple curettage with bone grafting, complete excision, embolization, and radiation therapy. Reconstruction and stabilization of the spine may be warranted if deformity and instability are present. Special factors need to be considered in the management of these lesions. CONCLUSIONS: Complete excision of aneurysmal bone cysts offers the best chance of cure and spinal decompression if neurological deficits are present.

Original languageEnglish (US)
Pages (from-to)E4
JournalNeurosurgical focus
Volume15
Issue number5
DOIs
StatePublished - Nov 15 2003
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

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