1例采用栓塞、切除及融合术治疗的膨胀性脊柱骨盆动脉瘤样骨囊肿罕见病例。
A rare case of an expansile spinopelvic aneurysmal bone cyst managed with embolization, excision, and fusion.
作者信息
Prabhu Rudra Mangesh, Rathod Tushar N, Vasavda Akash, Kolur Shivaprasad S, Tayade Punit
机构信息
Department of Orthopaedics, Seth G.S Medical College and K.E.M. Hospital, Mumbai, Maharashtra, India.
Department of Physiotherapy, MGM School of Physiotherapy, Mumbai, Maharashtra, India.
出版信息
Surg Neurol Int. 2021 Nov 30;12:580. doi: 10.25259/SNI_1045_2021. eCollection 2021.
BACKGROUND
Aneurysmal bone cysts (ABC) are benign osteolytic lesions of the metaphyseal regions of long bones that typically contribute to rapid bony expansion. Here, we present an ABC involving the spinopelvic region in a 15-year-old male that required embolization, surgical excision, and fusion.
CASE DESCRIPTION
A 15-year-old male, presented with gradually progressive painful lower back swelling of 4 months' duration. Once the diagnosis of an ABC was established based on a combination of X-ray, MR, and CT studies, he underwent selective arterial embolization, extended surgical excision (i.e. curettage), with a posterior fusion. Two years postoperatively, the patient remained neurologically intact without radiographic evidence of lesion recurrence.
CONCLUSION
Large expansile ABC involving the vertebral bodies should be managed with preoperative selective arterial embolization, surgical decompression/curettage, and spinopelvic fixation.
背景
骨动脉瘤样囊肿（ABC）是长骨干骺端区域的良性溶骨性病变，通常会导致骨质快速膨胀。在此，我们报告一例15岁男性的ABC累及脊柱骨盆区域，该病例需要进行栓塞、手术切除和融合术。
病例描述
一名15岁男性，出现持续4个月的逐渐加重的下背部疼痛性肿胀。基于X线、磁共振成像（MR）和计算机断层扫描（CT）检查结果综合诊断为ABC后，他接受了选择性动脉栓塞、扩大手术切除（即刮除术）以及后路融合术。术后两年，患者神经功能完好，影像学检查未发现病变复发迹象。
结论
累及椎体的大型膨胀性ABC应采用术前选择性动脉栓塞、手术减压/刮除术以及脊柱骨盆固定术进行治疗。
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