Treatment of Aneurysmal Bone Cysts with Allograft
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Abstract
Backround Patients with aneurysmal bone cyst (QOA) have diagnostic and therapeutic difficulties. They have been described multiple therapeutic options.ObjectiveOur objective was to evaluate the results obtained in patients treated with curettage and filling with bone allograft.MethodsIt was analized a total of 16 cysts, corresponding to 15 patients with a minimum follow-up of 28 months and a median follow up of 83 months.ResultsThe average age of the children was 10 years (range: 3-16). The main complication was recurrence in 37.5% of patients, being more frequent when there physeal involvement (62.5% vs 12.5% without compromise. P = 0.05). The recurrence rate was unchanged for both sexes, for different ages and analyzed regarding the use or not of high-speed burr.ConclusionWe think that the treatment performed is safe but has a high rate of recurrence, similar to those reported in other series.
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Olivera Nùñez, D., Sabella Chelle, N., Silveri Fajardo, C., Gil, J., & Cuneo Etcheverry, A. (2016). Treatment of Aneurysmal Bone Cysts with Allograft. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 81(2), 128-138. https://doi.org/10.15417/396
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Clinical Research
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9. Ramírez AR, Stanton RP. Aneurysmal bone cyst in 29 children. J Pediatr Orthop. 2002 Jul-Aug;22(4):533-9.
10. Gibbs Jr CP, Hefele MC, Peabody TD, et al. Aneurysmal bone cyst of the extremities: Factors related to local recurrence after curettage with a high-speed burr. Bone Joint Surg 1999; 81A:1671-1678.
11. Biesecker JL, Marcove RC, Huvos AG, Mike V. Aneurysmal bone cysts: a clinicopathologic study of 66 cases. Cancer. 1970;26:615–625.
12. Cole WG. Treatment of aneurysmal bone cysts in childhood. J Pediatr Orthop.1986;6:326–329.
13. Steffner RJ, Liao C, Stacy G, Atanda A, Attar S, Avedian R, et al. Factors associated with recurrence of primary aneurysmal bone cysts: is argon beam coagulation an effective adjuvant treatment? J Bone Joint Surg Am. 2011 Nov 2;93(21):e1221-9.
14. Başarir K, Pişkin A, Güçlü B, Yildiz Y, Sağlik Y.Aneurysmal bone cyst recurrence in children: a review of 56 patients. J Pediatr Orthop. 2007 Dec;27(8):938-43.
15. Lin PP, Brown C, Raymond AK, Deavers MT, Yasko AW. Aneurysmal bone cysts recur at juxtaphyseal locations in skeletally immature patients. Clin Orthop Relat Res.2008;466:722–728.
16. Mankin HJ, Hornicek FJ, Ortiz-Cruz E, Villafuerte J, Gebhardt MC. Aneurysmal bone cyst: a review of 150 patients. J Clin Oncol. 2005 Sep 20;23(27):6756-62.
17. Dormans JP, Hanna BG, Johnston DR, Khurana JS. Surgical treatment and recurrence rate of aneurysmal bone cysts in children. Clin Orthop Relat Res.2004;421:205–11.
18. Cottalorda J, Kohler R, Chotel F, de Gauzy JS, Lefort G, Louahem D, et al. Recurrence of aneurysmal bone cysts in young children: a multicentre study. J Pediatr Orthop B. 2005 May;14(3):212-8.
19. Varshney MK, Rastogi S, Khan SA, Trikha V. Is sclerotherapy better than intralesional excision for treating aneurysmal bone cysts? Clin Orthop Relat Res. 2010 Jun;468(6):1649-59.
20. Capanna R, Bettelli G, Biagini R, Ruggieri P, Bertoni F, Campanacci M. Aneurysmal cysts of long bones. Ital J Orthop Traumatol. 1985 Dec;11(4):409-17.
21. Cummings JE, Smith RA, Heck RK Jr. Argon beam coagulation as adjuvant treatment after curettage of aneurysmal bone cysts: a preliminary study. Clin Orthop Relat Res. 2010 Jan;468(1):231-7.
22. Khan FA. Aneurysmal bone cyst: The role of fibular graft in its treatment . Ann Saudi Med. 1995 Nov;15(6):566-9.
23. Abuhassan FO, Shannak AO. Subperiosteal resection of aneurysmal bone cysts of the distal fibula. J Bone Joint Surg Br. 2009 Sep;91(9):1227-31.
24. Schreuder HW, Veth R, Pruszczynski M, Albert J. Aneurysmal bone cyst treated by curettage, cryotherapy and bone grafting. J Bone Surg (Br) 1997; 79-B:20-5.
25. Papagelopoulos PJ, SN Choudhury, Frassica FJ, et al. The pelvic and sacrum aneurysmal bone cyst treatment. J Bone Joint Surg Am 2001; 83:1674-1681.
26. Rizzo M, Dellaero DT, Harrelson JM, Scully SP. Juxtaphyseal aneurysmal bone cysts. Clin Orthop Relat Res. 1999;364:205–212.
27. Capanna R, Springfield DS, Biagini R, Ruggieri P, Giunti A. Juxtaepiphyseal aneurysmal bone cyst. Skeletal Radiol. 1985;13:21–25.
28. Green JA, Bellemore MC, Marsden FW. Embolization in the treatment of aneurysmal bone cysts. J Pediatr Orthop. 1997 Jul-Aug;17(4):440-3.
29. Lampasi M, Magnani M, Donzelli O. Aneurysmal bone cysts of the distal fibula in children: long-term results of curettage and resection in nine patients. J Bone Joint Surg Br. 2007 Oct; 89(10):1356-62.
30. Scheil-Bertram S, Hartwig E, Brüderlein S, Melzner I, von Baer A, Roessner A, et al. Metachronous and multiple aneurysmal bone cysts: a rare variant of primary aneurysmal bone cysts. Virchows Arch. 2004 Mar;444(3):293-9.
2. Jaffe HL, Lichtenstein L. Solitary unicameral bone cyst with emphasis on the Roentgen picture, pathologic appearance and pathogenesis. Arch Surg 1942; 44:1004-1025
3. Capanna R. Quiste óseo aneurismático. En: Enciclopedia médico quirúrgica. Aparato locomotor, 14-190, 2001, 12p.
4. Capanna R, Dal Monte A, Gitelis S, Campanacci M. The natural history of unicameral bone cyst after steroid injection. Clin Orthop Relat Res. 1982 Jun;(166):204-11.
5. Neer CS, 2nd, Francis KC, Marcove RC, et al. Treatment of unicameral bone cyst: a follow-up study of 175 cases. J Bone Joint Surg Am 1996; 48:731-745.
6. Killian JT, Wilkinson L, White S, Brassard M. Treatment of unicameral bone cyst with demineralized bone matrix. J Pediatr Orthop 1998; 18:621-624.
7. Bollini G, Jouve JL, Cottalorda J, Petit P, Panuel M, Jacquemier M. Aneurysmal bone cyst in children: analysis of twenty-seven patients. J Pediatr Orthop B. 1998 Oct;7(4):274-85.
8. Freiberg AA, Loder RT, Heidelberger KP, Hensinger RN. Aneurysmal bone cysts in young children. J Pediatr Orthop. 1994 Jan-Feb;14(1):86-91.
9. Ramírez AR, Stanton RP. Aneurysmal bone cyst in 29 children. J Pediatr Orthop. 2002 Jul-Aug;22(4):533-9.
10. Gibbs Jr CP, Hefele MC, Peabody TD, et al. Aneurysmal bone cyst of the extremities: Factors related to local recurrence after curettage with a high-speed burr. Bone Joint Surg 1999; 81A:1671-1678.
11. Biesecker JL, Marcove RC, Huvos AG, Mike V. Aneurysmal bone cysts: a clinicopathologic study of 66 cases. Cancer. 1970;26:615–625.
12. Cole WG. Treatment of aneurysmal bone cysts in childhood. J Pediatr Orthop.1986;6:326–329.
13. Steffner RJ, Liao C, Stacy G, Atanda A, Attar S, Avedian R, et al. Factors associated with recurrence of primary aneurysmal bone cysts: is argon beam coagulation an effective adjuvant treatment? J Bone Joint Surg Am. 2011 Nov 2;93(21):e1221-9.
14. Başarir K, Pişkin A, Güçlü B, Yildiz Y, Sağlik Y.Aneurysmal bone cyst recurrence in children: a review of 56 patients. J Pediatr Orthop. 2007 Dec;27(8):938-43.
15. Lin PP, Brown C, Raymond AK, Deavers MT, Yasko AW. Aneurysmal bone cysts recur at juxtaphyseal locations in skeletally immature patients. Clin Orthop Relat Res.2008;466:722–728.
16. Mankin HJ, Hornicek FJ, Ortiz-Cruz E, Villafuerte J, Gebhardt MC. Aneurysmal bone cyst: a review of 150 patients. J Clin Oncol. 2005 Sep 20;23(27):6756-62.
17. Dormans JP, Hanna BG, Johnston DR, Khurana JS. Surgical treatment and recurrence rate of aneurysmal bone cysts in children. Clin Orthop Relat Res.2004;421:205–11.
18. Cottalorda J, Kohler R, Chotel F, de Gauzy JS, Lefort G, Louahem D, et al. Recurrence of aneurysmal bone cysts in young children: a multicentre study. J Pediatr Orthop B. 2005 May;14(3):212-8.
19. Varshney MK, Rastogi S, Khan SA, Trikha V. Is sclerotherapy better than intralesional excision for treating aneurysmal bone cysts? Clin Orthop Relat Res. 2010 Jun;468(6):1649-59.
20. Capanna R, Bettelli G, Biagini R, Ruggieri P, Bertoni F, Campanacci M. Aneurysmal cysts of long bones. Ital J Orthop Traumatol. 1985 Dec;11(4):409-17.
21. Cummings JE, Smith RA, Heck RK Jr. Argon beam coagulation as adjuvant treatment after curettage of aneurysmal bone cysts: a preliminary study. Clin Orthop Relat Res. 2010 Jan;468(1):231-7.
22. Khan FA. Aneurysmal bone cyst: The role of fibular graft in its treatment . Ann Saudi Med. 1995 Nov;15(6):566-9.
23. Abuhassan FO, Shannak AO. Subperiosteal resection of aneurysmal bone cysts of the distal fibula. J Bone Joint Surg Br. 2009 Sep;91(9):1227-31.
24. Schreuder HW, Veth R, Pruszczynski M, Albert J. Aneurysmal bone cyst treated by curettage, cryotherapy and bone grafting. J Bone Surg (Br) 1997; 79-B:20-5.
25. Papagelopoulos PJ, SN Choudhury, Frassica FJ, et al. The pelvic and sacrum aneurysmal bone cyst treatment. J Bone Joint Surg Am 2001; 83:1674-1681.
26. Rizzo M, Dellaero DT, Harrelson JM, Scully SP. Juxtaphyseal aneurysmal bone cysts. Clin Orthop Relat Res. 1999;364:205–212.
27. Capanna R, Springfield DS, Biagini R, Ruggieri P, Giunti A. Juxtaepiphyseal aneurysmal bone cyst. Skeletal Radiol. 1985;13:21–25.
28. Green JA, Bellemore MC, Marsden FW. Embolization in the treatment of aneurysmal bone cysts. J Pediatr Orthop. 1997 Jul-Aug;17(4):440-3.
29. Lampasi M, Magnani M, Donzelli O. Aneurysmal bone cysts of the distal fibula in children: long-term results of curettage and resection in nine patients. J Bone Joint Surg Br. 2007 Oct; 89(10):1356-62.
30. Scheil-Bertram S, Hartwig E, Brüderlein S, Melzner I, von Baer A, Roessner A, et al. Metachronous and multiple aneurysmal bone cysts: a rare variant of primary aneurysmal bone cysts. Virchows Arch. 2004 Mar;444(3):293-9.