OMURGADA ANEVRİZMAL KEMİK KİSTİ: BİR ÜÇÜNCÜ BASAMAK HASTANE DENEYİMİ Aneurysmal Bone Cyst of the Spine Experience at a Single Tertiary Hospital
Abstract
ÖZET
Amaç: Anevrizmal kemik kisti (AKK), lokal agresif yapıda iyi huylu bir kemik tümörüdür. Bu çalışmanın amacı,
omurgada seyrek görülen ve geç tanı konulan AKK’nde uygulanan tedavilerin ve sonuçlarının değerlendirilmesi
amaçlanmıştır.
Gereç ve Yöntem: 2005 ve 2019 yılları arasında hastanemizin online veritabanında omurgadaki AKK araştırması
yapılmıştır. Toplamda altı hasta (4 erkek, 2 kadın) tespit edilmiş olup, hastaların ağrı başlangıcından tedavi
edilinceye kadar geçen süre ortalama 2,7 yıldır.
Bulgular: Hastalarımızdan ikisinde küretaj uygulanmıştır. Üç hastamızda ise tümörün çıkarılması sonrasında
iatrojenik instabilite gelişmiş, bu nedenle kısa segment posterior enstrumentasyon uygulanmıştır. Bir hastada
ise eşlik eden komorbiditeler nedeniyle selektif arteriyel embolizasyon ile tümörün büyümesi kontrol altına
alınmış olup komorbiditenin tedavi edilmesi sonrasında cerrahi planlanmaktadır.
Sonuç: Nörolojik bulgunun olmadığı ve deformite gelişmemiş hastalarda embolizasyon kullanılabilir. Enneking
evre 2 vakalarda küretaj (ve greftleme) uygun cerrahi seçenektir. Ancak tümörün yeri ve büyüklüğüne göre,
cerrahi sonrasında instabilite gelişebilir, bu nedenle kısa segment posterior enstrumentasyon uygulanabilir.
Anahtar Kelimeler: Anevrizmal kemik kisti; Omurga; Sakrum; Selektif arteriyel embolizasyon; Cerrahi
ABSTRACT
Aim: Aneurysmal bone cyst (ABC) is a benign osseous tumor, with a local aggressive nature. It is rarely seen in
the spine which causes a delayed diagnosis and treatment. The aim of this study is to present results of ABC
of the spine in our clinic and investigate the current treatment options.
Material and Method: A search of the ABCs of the spine between 2005 and 2019 years was conducted on
online hospital database system. There were 6 patients (4 male, 2 female), with a duration of symptoms until
treatment 2.7 years.
Results: Two patients were treated with curettage, posterior instrumentation was added due to iatrogenic
instability after tumor removal in three patients, and selective arterial embolization was used to control the
tumor growth in a patient with comorbidities, and surgery was planned for the patient after treatment of
comorbidities.
Conclusion: Embolization can be used in patients without neurological symptoms and in the absence of deformity.
Curettage and bone grafting is the viable surgical treatment method in stage 2 lesions. However more
extensive surgery may be necessary in patients with spinal instability, such as posterior instrumentation and
fusion, and en bloc resection with neural structure sacrifice in recurrent or primary stage 3 lesions.
Keywords: Aneurysmal Bone Cyst; Spine; Sacrum; Selective arterial embolization; Surgery
References
- 1. Aho HJ, Aho AJ, Einola S. Aneurysmal bone cyst, a study of ultrastructure and malignant transformation. Virchows Arch A Pathol Anat Histol. 1982 Apr;395(2):169–79. 2. Ameli NO, Abbassioun K, Saleh H, Eslamdoost A. Aneurysmal bone cysts of the spine. J Neurosurg. 1985 Nov;63(5):685–90. 3. Suzuki M, Satoh T, Nishida J, Kato S, Toba T, Honda T, et al. Solid Variant of Aneurysmal Bone Cyst of the Cervical Spine. Spine (Phila Pa 1976). 2004 Sep 1;29(17):E376–81. 4. de Kleuver M, van der Heul RO, Veraart BEEMJ. Aneurysmal Bone Cyst of the Spine. J Pediatr Orthop B. 1998 Oct;7(4):286–92. 5. Hay MC, Paterson D, Taylor TK. Aneurysmal bone cysts of the spine. J Bone Joint Surg Br. 1978 Aug;60-B(3):406–11. 6. Mankin HJ, Hornicek FJ, Ortiz-Cruz E, Villafuerte J, Gebhardt MC. Aneurysmal Bone Cyst: A Review of 150 Patients. J Clin Oncol. 2005 Sep 20;23(27):6756–62. 7. Marushima A, Matsumaru Y, Suzuki K, Takigawa T, Kujiraoka Y, Anno I, et al. Selective Arterial Embolization With n-Butyl Cyanoacrylate in the Treatment of Aneursymal Bone Cyst of the Thoracic Vertebra. Spine (Phila Pa 1976). 2009 Mar 15;34(6):E230–4. 8. Papagelopoulos PJ, Currier BL, Shaughnessy WJ, Sim FH, Ebersold MJ, Bond JR, et al. Aneurysmal Bone Cyst of the Spine. Spine (Phila Pa 1976). 1998 Mar 1;23(5):621–8. 9. Boriani S, De Iure F, Campanacci L, Gasbarrini A, Bandiera S, Biagini R, et al. Aneurysmal Bone Cyst of the Mobile Spine. Spine (Phila Pa 1976). 2001 Jan 1;26(1):27–35. 10. Aljoghaiman MS, Alhamad SM, Homan MA, Harfouch BF. Aneurysmal bone cyst of the spine: Report of four cases and review of the literature. Interdiscip Neurosurg. 2019 Jun 1;16:18–21.
Abstract
References
- 1. Aho HJ, Aho AJ, Einola S. Aneurysmal bone cyst, a study of ultrastructure and malignant transformation. Virchows Arch A Pathol Anat Histol. 1982 Apr;395(2):169–79. 2. Ameli NO, Abbassioun K, Saleh H, Eslamdoost A. Aneurysmal bone cysts of the spine. J Neurosurg. 1985 Nov;63(5):685–90. 3. Suzuki M, Satoh T, Nishida J, Kato S, Toba T, Honda T, et al. Solid Variant of Aneurysmal Bone Cyst of the Cervical Spine. Spine (Phila Pa 1976). 2004 Sep 1;29(17):E376–81. 4. de Kleuver M, van der Heul RO, Veraart BEEMJ. Aneurysmal Bone Cyst of the Spine. J Pediatr Orthop B. 1998 Oct;7(4):286–92. 5. Hay MC, Paterson D, Taylor TK. Aneurysmal bone cysts of the spine. J Bone Joint Surg Br. 1978 Aug;60-B(3):406–11. 6. Mankin HJ, Hornicek FJ, Ortiz-Cruz E, Villafuerte J, Gebhardt MC. Aneurysmal Bone Cyst: A Review of 150 Patients. J Clin Oncol. 2005 Sep 20;23(27):6756–62. 7. Marushima A, Matsumaru Y, Suzuki K, Takigawa T, Kujiraoka Y, Anno I, et al. Selective Arterial Embolization With n-Butyl Cyanoacrylate in the Treatment of Aneursymal Bone Cyst of the Thoracic Vertebra. Spine (Phila Pa 1976). 2009 Mar 15;34(6):E230–4. 8. Papagelopoulos PJ, Currier BL, Shaughnessy WJ, Sim FH, Ebersold MJ, Bond JR, et al. Aneurysmal Bone Cyst of the Spine. Spine (Phila Pa 1976). 1998 Mar 1;23(5):621–8. 9. Boriani S, De Iure F, Campanacci L, Gasbarrini A, Bandiera S, Biagini R, et al. Aneurysmal Bone Cyst of the Mobile Spine. Spine (Phila Pa 1976). 2001 Jan 1;26(1):27–35. 10. Aljoghaiman MS, Alhamad SM, Homan MA, Harfouch BF. Aneurysmal bone cyst of the spine: Report of four cases and review of the literature. Interdiscip Neurosurg. 2019 Jun 1;16:18–21.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Research |
| Authors | |
| Publication Date | March 25, 2020 |
| Published in Issue | Year 2020 Volume: 10 Issue: 1 |