Department of Neurosurgery, AIIMS, New Delhi, 110029, India.
Childs Nerv Syst. 2024 Feb;40(2):569-573. doi: 10.1007/s00381-023-06149-y. Epub 2023 Oct 1.
Aneurysmal bone cyst is composed of variable -sized cystic blood-filled spaces separated by connective tissue septae. First-line surgical resection of spinal aneurysmal bone cyst in a child with limited total blood volume can lead to massive intraoperative bleeding, thus limiting extent of resection. Our Centre's has good experience of using absolute alcohol as an effective immediate devascularizing agent during vertebral hemangioma surgery in children.
We report the first case of pediatric lumbar primary aneurysmal bone cyst in which completely blood-less piecemeal total resection of the lesion was performed after intraoperative absolute alcohol intralesional sclerotherapy.
Completely blood-less piecemeal total resection of the lumbar aneurysmal bone cyst was performed after intraoperative absolute alcohol intralesional sclerotherapy.
Intraoperative absolute alcohol intralesional sclerotherapy is a very effective devascularizing adjunct for complete piecemeal resection of spinal aneurysmal bone cyst in children with limited blood volume.
动脉瘤样骨囊肿由大小不一的充满血液的囊性空间组成，由结缔组织隔膜分隔。对于总血容量有限的儿童脊柱动脉瘤样骨囊肿，一线手术切除可导致术中大量出血，从而限制了切除范围。我们中心在儿童椎体血管瘤手术中使用绝对酒精作为有效即刻血管内药物方面有丰富的经验。
我们报告了首例儿童腰椎原发性动脉瘤样骨囊肿的病例，该病例在术中绝对酒精瘤内硬化治疗后，进行了完全无血的节段性全切除。
在术中绝对酒精瘤内硬化治疗后，成功地进行了完全无血的节段性全切除。
对于总血容量有限的儿童脊柱动脉瘤样骨囊肿，术中绝对酒精瘤内硬化治疗是一种非常有效的血管内辅助手段，可实现完全的节段性切除。
