Sertbas Idris, Karatay Mete
Istanbul Yeni Yuzyil University School of Medicine, Department of Neurosurgery, Istanbul, Turkey.
Turk Neurosurg. 2020;30(3):462-464. doi: 10.5137/1019-5149.JTN.24614-18.2.
An aneurysmal bone cyst (ABC) is a vascular locally proliferative, non-neoplastic, benign lesion observed in children and young adults. 75% of ABCs occur before the age of twenty. The cyst frequently develops in the long bones and comprises 1.4% of primary bone tumors. Spinal ABC is rare and is typically observed in the thoracic and cervical regions. In the spinal region, the posterior elements of a single vertebra are usually involved. The lamina, pedicle, facet joints are more commonly affected. The lesion may also expand toward the corpus. We present a case involving successful total excision of a lumbar spinal giant ABC by combining surgery with preoperative coil embolization. Preoperative arterial embolization contributes to decreased morbidity and mortality rates by reducing the duration of surgery and occurrence of intraoperative hemorrhage.
动脉瘤样骨囊肿（ABC）是一种在儿童和年轻人中观察到的血管性局部增生性、非肿瘤性良性病变。75%的ABC发生在20岁之前。该囊肿常发生于长骨，占原发性骨肿瘤的1.4%。脊柱ABC罕见，通常见于胸椎和颈椎区域。在脊柱区域，单个椎体的后部结构通常受累。椎板、椎弓根、小关节更常受累。病变也可能向椎体扩展。我们报告一例通过手术联合术前弹簧圈栓塞成功完全切除腰椎巨大ABC的病例。术前动脉栓塞通过缩短手术时间和减少术中出血的发生，有助于降低发病率和死亡率。
