Liu James K, Brockmeyer Douglas L, Dailey Andrew T, Schmidt Meic H
Department of Neurosurgery, University of Utah School of Medicine, Primary Children's Medical Center, Salt Lake City, Utah 84132, USA.
Neurosurg Focus. 2003 Nov 15;15(5):E4.
Aneurysmal bone cysts of the spine are benign, highly vascular osseous lesions of unknown origin that may present difficult diagnostic and therapeutic challenges. They are expansile lesions containing thin-walled, blood-filled cystic cavities that cause bone destruction and sometimes spinal deformity and neurological compromise. The treatment of aneurysmal bone cysts of the spine remains controversial according to the literature. In this review, the authors discuss the clinical manifestations, pathophysiological features, neuroimaging characteristics, and treatment strategies for these lesions.
Treatment options include simple curettage with bone grafting, complete excision, embolization, and radiation therapy. Reconstruction and stabilization of the spine may be warranted if deformity and instability are present. Special factors need to be considered in the management of these lesions.
Complete excision of aneurysmal bone cysts offers the best chance of cure and spinal decompression if neurological deficits are present.
脊柱动脉瘤样骨囊肿是起源不明的良性、高血管性骨病变，可能带来诊断和治疗方面的难题。它们是膨胀性病变，包含薄壁、充满血液的囊腔，可导致骨质破坏，有时还会引起脊柱畸形和神经功能损害。根据文献，脊柱动脉瘤样骨囊肿的治疗仍存在争议。在本综述中，作者讨论了这些病变的临床表现、病理生理特征、神经影像学特点及治疗策略。
治疗选择包括单纯刮除植骨、完整切除、栓塞和放射治疗。如果存在畸形和不稳定，则可能需要进行脊柱重建和稳定手术。在处理这些病变时需要考虑特殊因素。
如果存在神经功能缺损，完整切除动脉瘤样骨囊肿提供了最佳的治愈机会和脊柱减压效果。
