Goudarzi Y M, Sautmann F
Aktuelle Traumatol. 1987 Apr;17(2):73-9.
The article reports on etiology, clinics and treatment of pathological fractures caused by benign, semimalign bone tumors as well as tumorlike lesions and inflammatory bone alterations in childhood. Our patients treated between the years of 1972 and 1986 were reexamined and the results reconsidered thoroughly. Of 47 children with pathological fractures 38 were treated surgically. The treatment consisted of tumor excision or milling out respectively, perforation of the excavation and its subsequent filling with autologous spongiosa combined with additional stabilization by osteosynthesis. With this surgical therapy 3 recurrent cysts were observed of which one resulted in a refracture. With the majority of the children the pathological fracture lead to the discovery of the tumor.
本文报道了儿童良性、半恶性骨肿瘤以及肿瘤样病变和炎性骨改变所致病理性骨折的病因、临床症状及治疗方法。我们对1972年至1986年间接受治疗的患者进行了复查，并对结果进行了全面重新评估。47例病理性骨折患儿中，38例行手术治疗。治疗方法分别为肿瘤切除或刮除、对骨缺损处钻孔并随后用自体松质骨填充，同时通过骨固定术进行额外固定。采用这种手术治疗方法，观察到3例囊肿复发，其中1例导致再次骨折。大多数患儿因病理性骨折而发现肿瘤。
