Skip to main content

Advertisement

Log in

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

  • Case Report
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

References

  1. De Dios Vergel AM, Bond JR, Shives TC, McLeod RA, Unni KK. Aneurysmal bone cyst. A clinicopathologic study of 238 cases. Cancer. 1992;69:2921–31.

    Article  Google Scholar 

  2. Oliveira AM, Chou MM. USP6-induced neoplasms: the biologic spectrum of aneurysmal bone cyst and nodular fasciitis. Hum Pathol. 2014;45:1–11.

    Article  CAS  PubMed  Google Scholar 

  3. Papagelopoulos PJ, Currier BL, Shaughnessy WJ, et al. Aneurysmal bone cyst of the spine. Management and outcome. Spine (Phila Pa 1976). 1998;23:621–8.

    Article  CAS  Google Scholar 

  4. Hay MC, Paterson D, Talor TK. Aneurysmal bone cysts of the spine. J Bone Joint Surg (Br). 1978;60-B:406–11.

    CAS  Google Scholar 

  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;22:533–41.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  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.

    Article  PubMed Central  PubMed  Google Scholar 

  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;58:11–6. doi:10.1016/j.bone.2013.10.004.

    Article  CAS  PubMed  Google Scholar 

  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.

    PubMed  Google Scholar 

  9. Marcove RC, Sheth DS, Takemoto S, Healey JH. The treatment of aneurysmal bone cyst. Clin Orthop Relat Res. 1995;311:157–63.

    PubMed  Google Scholar 

  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;39:161–7.

    Article  PubMed  Google Scholar 

  11. Adamsbaum C, Mascard E, Guinebretière JM, Kalifa G, Dubousset J. Intralesional ethiblock injections in primary aneurysmal bone cysts: an efficient and safe treatment. Skeletal Radiol. 2003;32:559–66.

    Article  CAS  PubMed  Google Scholar 

  12. Topouchian V, Mazda K, Hamze B, Laredo JD, Penneçot GF. Aneurysmal bone cysts in children: complications of fibrosing agent injection. Radiology. 2004;232(2):522–6.

    Article  PubMed  Google Scholar 

  13. Varshney MK, Rastogi S, Khan SA, Trikha V. Is sclerotherapy better than intralesional excision for treating aneurysmal bone cysts? Clin Orthop. 2010;468:1649–59.

    Article  PubMed Central  PubMed  Google Scholar 

  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):2675–83.

    Article  PubMed Central  PubMed  Google Scholar 

  15. Lange T, Stehling C, Fröhlich B, et al. Denosumab: a potential new and innovative treatment option for aneurysmal bone cysts. Eur Spine J. 2013;22(6):1417–22.

    Article  PubMed Central  PubMed  Google Scholar 

  16. Thacker PG, Callstrom MR, Curry TB, et al. Palliation of painful metastatic disease involving bone with imaging-guided treatment: comparison of patients’immediate response to radiofrequency ablation and cryoablation. AJR Am J Roentegenol. 2011;197:510–5.

    Article  Google Scholar 

  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;14:170–6.

    Article  PubMed  Google Scholar 

  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;36:1624–8.

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Georgia Tsoumakidou.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Tsoumakidou, G., Too, C.W., Garnon, J. et al. Treatment of a spinal aneurysmal bone cyst using combined image-guided cryoablation and cementoplasty. Skeletal Radiol 44, 285–289 (2015). https://doi.org/10.1007/s00256-014-1967-6

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-014-1967-6

Keywords

Navigation