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Surgical treatment of a lumbar aneurysmal bone cyst using percutaneous endoscopic lumbar discectomy

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Abstract

Purpose

Aneurysmal bone cysts of the lumbar spine are usually treated by curettage followed by bone or bioactive ceramics grafting. Here, we present the first case of an aneurysmal bone cyst of the lumbar spine treated by percutaneous endoscopic lumbar discectomy (PELD).

Methods

We describe the clinical characteristics of the patient including the radiological and pathological findings of the tumor and the surgical technique used.

Results

A 15-year-old boy presented with low back pain, and he was diagnosed with an aneurysmal bone cyst of the L3 vertebra based on radiological findings, including plain radiograph, computed tomography, and magnetic resonance imaging. The technique and equipment of PELD were used to perform curettage of the tumor cavity and fill it with hydroxyapatite granules. The skin incision was only 8 mm. The patient was discharged 1 day postoperatively and could walk without assistance. The postoperative course was uneventful and the symptoms improved following surgery.

Conclusion

Endoscopic surgery via PELD can be a treatment option for ABCs of the lumbar spine.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Teikyo University Mizonokuchi Hospital, 3-8-3 Mizonokuchi, Takatsu-ku, Kawasaki, Kanagawa, 213-8507, Japan

    Isao Shibuya, Akira Dezawa & Shigeru Nakamura

  2. Department of Orthopaedic Surgery, Mizuno Memorial Hospital, 6-32-10 Nishiarai, Adachi-ku, Tokyo, 123-0841, Japan

    Shigeki Urayama

Authors
  1. Isao Shibuya
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  2. Akira Dezawa
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  3. Shigeki Urayama
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  4. Shigeru Nakamura
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Corresponding author

Correspondence to Isao Shibuya.

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Conflict of interest

The authors declare that they have no conflicts of interest.

Funding

No funds were received in support of this study.

Informed consent

Informed consent was obtained from the patient and his family for the publication of this case.

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Shibuya, I., Dezawa, A., Urayama, S. et al. Surgical treatment of a lumbar aneurysmal bone cyst using percutaneous endoscopic lumbar discectomy. Eur Spine J 27 (Suppl 3), 368–374 (2018). https://doi.org/10.1007/s00586-017-5297-y

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  • DOI: https://doi.org/10.1007/s00586-017-5297-y

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