Treatment of a spinal aneurysmal bone cyst using combined image-guided cryoablation and cementoplasty

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• 作者：Georgia Tsoumakidou (1)
  Chow Wei Too (1)
  Julien Garnon (1)
  Jean-Paul Steib (2)
  Afshin Gangi (1)
  
  1. Non-Vascular IR Department ; University Hospital of Strasbourg ; Strasbourg ; France
  2. Chirurgie du Rachis ; University Hospital of Strasbourg ; Strasbourg ; France
  
• 关键词：Spinal aneurysmal bone cyst ; Cryoablation ; Cementoplasty
• 刊名：Skeletal Radiology
• 出版年：2015
• 出版时间：February 2015
• 年：2015
• 卷：44
• 期：2
• 页码：285-289
• 全文大小：2,756 KB
• 参考文献：1. De Dios Vergel AM, Bond JR, Shives TC, McLeod RA, Unni KK. Aneurysmal bone cyst. A clinicopathologic study of 238 cases. Cancer. 1992;69:2921鈥?1. CrossRef
  2. Oliveira AM, Chou MM. USP6-induced neoplasms: the biologic spectrum of aneurysmal bone cyst and nodular fasciitis. Hum Pathol. 2014;45:1鈥?1. CrossRef
  3. Papagelopoulos PJ, Currier BL, Shaughnessy WJ, et al. Aneurysmal bone cyst of the spine. Management and outcome. Spine (Phila Pa 1976). 1998;23:621鈥?. CrossRef
  4. Hay MC, Paterson D, Talor TK. Aneurysmal bone cysts of the spine. J Bone Joint Surg (Br). 1978;60-B:406鈥?1.
  5. Amendola L, Simonetti L, Simoes CE, Bandiera S, De Iure F, Boriani S. Aneurysmal bone cyst of the mobile spine: the therapeutic role of embolization. Eur Spine J. 2013;22:533鈥?1. CrossRef
  6. Flont P, Kolacinska-Flont M, Niedzielski K. A comparison of cyst wall curettage and en block excision in the treatment of aneurysmal bone cysts. World J Surg Oncol. 2013;11:109. doi:10.1186/1477-7819-11-109 . CrossRef
  7. Cornelis F, Truchetet ME, Amoretti N, et al. Bisphosphonate therapy for unresectable symptomatic benign bone tumors: a long-term prospective study of tolerance and efficacy. Bone. 2014;58:11鈥?. doi:10.1016/j.bone.2013.10.004 . CrossRef
  8. Guarnieri G, Vassallo P, Muto M, Muto M. Percutaneous treatment of symptomatic aneurysmal bone cyst of L5 by percutaneous injection of osteoconductive material (Cerament). J Neurointerv Surg. 2013. doi:10.1136/neurintsurg-2013-010912.rep .
  9. Marcove RC, Sheth DS, Takemoto S, Healey JH. The treatment of aneurysmal bone cyst. Clin Orthop Relat Res. 1995;311:157鈥?3.
  10. Rossi G, Rimondi E, Bartalena T, et al. Selective arterial embolization of 36 aneurysmal bone cysts of the skeleton with N-2-butuyl cyanocrylate. Skeletal Radiol. 2010;39:161鈥?. CrossRef
  11. Adamsbaum C, Mascard E, Guinebreti猫re JM, Kalifa G, Dubousset J. Intralesional ethiblock injections in primary aneurysmal bone cysts: an efficient and safe treatment. Skeletal Radiol. 2003;32:559鈥?6. CrossRef
  12. Topouchian V, Mazda K, Hamze B, Laredo JD, Penne莽ot GF. Aneurysmal bone cysts in children: complications of fibrosing agent injection. Radiology. 2004;232(2):522鈥?. CrossRef
  13. Varshney MK, Rastogi S, Khan SA, Trikha V. Is sclerotherapy better than intralesional excision for treating aneurysmal bone cysts? Clin Orthop. 2010;468:1649鈥?9. CrossRef
  14. Shiels 2nd WE, Mayerson JL. Percutaneous doxycycline treatment of aneurysmal bone cysts with low recurrence rate: a preliminary report. Clin Orthop Relat Res. 2013;471(8):2675鈥?3. CrossRef
  15. Lange T, Stehling C, Fr枚hlich B, et al. Denosumab: a potential new and innovative treatment option for aneurysmal bone cysts. Eur Spine J. 2013;22(6):1417鈥?2. CrossRef
  16. Thacker PG, Callstrom MR, Curry TB, et al. Palliation of painful metastatic disease involving bone with imaging-guided treatment: comparison of patients鈥檌mmediate response to radiofrequency ablation and cryoablation. AJR Am J Roentegenol. 2011;197:510鈥?. CrossRef
  17. Tsoumakidou G, Buy X, Garnon J, Enescu J, Gangi A. Percutaneous thermal ablation: how to protect the surrounding organs. Tech Vasc Interv Radiol. 2011;14:170鈥?. CrossRef
  18. Tsoumakidou G, Garnon J, Ramamurthy N, Buy X, Gangi A. Interest of electrostimulation of peripheral motor nerves during percutaneous thermal ablation. Cardiovasc Intervent Radiol. 2013;36:1624鈥?. CrossRef
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Imaging and Radiology
  Orthopedics
  Pathology
  Nuclear Medicine
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1432-2161

文摘

The authors describe the case of a 6.6-cm symptomatic spinal aneurysmal bone cyst (ABC) in a 17-year-old athlete treated percutaneously. Surgical treatment was not considered as the first option owing to its invasiveness and associated morbidity. CT-guided cryoablation of the expansile part of the ABC was performed for tumour shrinkage and nerve decompression. Thermal insulation, temperature monitoring and functional control/electrostimulation of the neural structures at risk were applied. Finally, the bony defect was cemented. No complications occurred during the procedure. Complete resolution of the ABC on imaging and clinical improvement were achieved. Percutaneous cryoablation should be considered as an alternative treatment option, especially when tumour size reduction is desired.