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- Title
Aneurysmal Bone Cyst of the Pelvis in Children and Adolescents: Effectiveness of Surgical Treatment with Curettage, Cryotherapy and Bone Grafting.
- Authors
Andreani, Lorenzo; Ipponi, Edoardo; Serrano, Elena; De Franco, Silvia; Cordoni, Martina; Bechini, Elena; D'Arienzo, Antonio; Parchi, Paolo Domenico
- Abstract
Background: Aneurysmal bone cysts (ABCs) are benign but locally aggressive cystic lesions of the bone. Pelvic ABCs are extremely rare and hard to treat due to their high risk of local recurrence and the tough access to pelvic bones. Methods: In this retrospective study, we evaluated pediatric cases with pelvic ABC treated with curettage, cryotherapy and bone grafting treated in our institution between 2016 and 2022. Complications were recorded, as well as local recurrences. Patients' post-operative functionality was assessed with the MSTS score. Results: Fourteen consecutive cases were included in our study. Their mean age at surgery was 13.5 years. The mean lesion size was 55 mm. The mean follow-up was 38 months. Two cases (11.8%) had local recurrences, which were successfully treated with further curettage. At their latest FU, 13 cases were continuously disease free (CDF), and one had no evidence of disease (NED). Only one case had a post-operative compilation (wound dehiscence). Patients' mean post-operative MSTS score was 29.6. Conclusions: Pelvic ABCs are a challenge, even for the most experienced orthopedic surgeon. Our study suggests that the association of an accurate curettage, intraoperative cryotherapy and bone grafting can be a reliable and effective therapeutic option for large-sized ABCs of the pelvis.
- Subjects
ANEURYSMAL bone cyst; COLD therapy; FUNCTIONAL status; CURETTAGE; RETROSPECTIVE studies; SURGICAL complications; TREATMENT effectiveness; DISEASE relapse; SURGICAL wound dehiscence; DESCRIPTIVE statistics; COMBINED modality therapy; PELVIS; BONE grafting; EVALUATION
- Publication
Healthcare (2227-9032), 2023, Vol 11, Issue 19, p2658
- ISSN
2227-9032
- Publication type
Article
- DOI
10.3390/healthcare11192658