Ameli N O, Abbassioun K, Saleh H, Eslamdoost A
J Neurosurg. 1985 Nov;63(5):685-90. doi: 10.3171/jns.1985.63.5.0685.
Seventeen cases of aneurysmal bone cyst of the spine are reported. Clinical manifestations, methods of investigation, differential diagnosis, treatment, and pathogenesis are discussed. The condition is essentially a benign lesion, affects a young age group, and grows rapidly, often producing a paravertebral mass. Occasionally it becomes acutely exacerbated, causing irreversible damage to the spinal cord. For these reasons, prompt diagnosis and timely treatment are important. Excision of the lesion is the treatment of choice but, if not feasible, thorough curettage and radiotherapy not exceeding 2000 rads are indicated. With a two-stage operation, excision of the lesion is often possible, and the stability of the vertebral column is assured with bone-graft fusions.
本文报告了17例脊柱动脉瘤样骨囊肿病例。讨论了其临床表现、检查方法、鉴别诊断、治疗及发病机制。该病本质上是一种良性病变，好发于年轻人群，生长迅速，常形成椎旁肿块。偶尔会急性加重，导致脊髓不可逆转的损伤。因此，早期诊断和及时治疗很重要。手术切除病变是首选治疗方法，但如果不可行，则应进行彻底刮除并给予不超过2000拉德的放射治疗。采用两阶段手术，通常可以切除病变，并通过植骨融合确保脊柱的稳定性。
