European Spine Journal

, Volume 27, Supplement 3, pp 368–374 | Cite as

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

  • Isao Shibuya
  • Akira Dezawa
  • Shigeki Urayama
  • Shigeru Nakamura
Case Report



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).


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


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.


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


Aneurysmal bone cyst Spinal tumor Percutaneous endoscopic lumbar discectomy Lumbar spine 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.


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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Copyright information

© Springer-Verlag GmbH Germany 2017

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryTeikyo University Mizonokuchi HospitalKawasakiJapan
  2. 2.Department of Orthopaedic SurgeryMizuno Memorial HospitalTokyoJapan

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