Imaging features of Vertebral Aneurysmal Bone Cyst and the clinical value of interventional embolization

Zhao,Qian; Xu,Hao; Min,Xuli; Yang,Lin; Ren,Yongjun

doi:10.3892/etm.2020.9099

Imaging features of Vertebral Aneurysmal Bone Cyst and the clinical value of interventional embolization

Authors:
- Qian Zhao
- Hao Xu
- Xuli Min
- Lin Yang
- Yongjun Ren
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Affiliations: Department of Interventional Radiology, People's Hospital of Nanbu Country, Nanbu, Nanchong, Sichuan 637300, P.R. China, Department of Interventional Radiology, Affiliated Hospital of North Sichuan Medical College, Sichuan Key Laboratory of Medical Imaging, North Sichuan Medical College, Nanchong, Sichuan 637000, P.R. China
Published online on: August 5, 2020 https://doi.org/10.3892/etm.2020.9099
Pages: 3832-3836
Copyright: © Zhao et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

The current study aimed to investigate the imaging manifestations of vertebral aneurysmal bone cyst (ABC), and examine the clinical value of interventional embolization. Imaging examinations of 5 patients with pathologically confirmed spinal ABC were analysed and arterial angiography and embolization were performed prior to surgery. The cases in this cohort exhibited different degrees of intrusion into the vertebral arch and spinous and transverse processes. Lesions that protruded into the spinal canal resulted in compression of the thecal sac and spinal cord. Enlargement of arteries was detected by digital subtraction angiography and decreased significantly following embolization. Blood loss during surgery was also significantly reduced. Preoperative embolization of ABC reduces bleeding and allows for easy access to tissue, which is of great clinical value.

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1	Jaffe HL: Aneurysmal bone cyst. Bull Hosp Joint Dis. 11:3–13. 1950.PubMed/NCBI
2	Hetaimish BM and Alshaya OS: Pediatric aneurysmal bone cyst in the ischial region. Saudi Med J. 37:799–803. 2016.PubMed/NCBI View Article : Google Scholar
3	Mankin KP, Bischoff RJ, Gelberman RH and Rosenberg AE: Aneurysmal bone cyst in involving the lunate. J Hand Surg Br. 20:12–15. 1995.PubMed/NCBI View Article : Google Scholar
4	Cottalorda J, Kohler R, Sales de Gauzy J, Chotel F, Mazda K, Lefort G, Louahem D, Bourelle S and Dimeglio A: Epidemiology of aneurysmal bone cyst in children: A multicenter study and literature review. J Pediatr Orthop B. 13:389–394. 2004.PubMed/NCBI View Article : Google Scholar
5	Malghem J, Maldague B, Esselinckx W, Noel H, De Nayer P and Vincent A: Spontaneous healing of aneurysmal bone cysts. A report of three cases. J Bone Joint Surg Br. 71:645–650. 1989.PubMed/NCBI
6	Parker J, Soltani S, Boissiere L, Obeid I, Gille O and Kieser DC: Spinal Aneurysmal bone cysts (ABCs): Optimal management. Orthop Res Rev. 11:159–166. 2019.PubMed/NCBI View Article : Google Scholar
7	Mascard E, Gomez-Brouchet A and Lambot K: Bone cysts: Unicameral and aneurysmal bone cyst. Orthop Traumatol Surg Res. 101 (Suppl 1):S119–S127. 2015.PubMed/NCBI View Article : Google Scholar
8	Dormans JP, Hanna BG, Johnston DR and Khurana JS: Surgical treatment and recurrence rate of aneurysmal bone cysts in children. Clin Orthop Relat Res. 421:205–211. 2004.PubMed/NCBI View Article : Google Scholar
9	Liu Y, Wang J, Lin L, Sang C, Lin Z, Pan Y and Fu X: Clinical study on complications of intracranial reptured aneurysm embolization by stent-assisted coil. Med Sci Monit. 24:8115–8124. 2018.PubMed/NCBI View Article : Google Scholar
10	You Y, Choi SH, Choi DW, Heo JS, Han IW, Han S, Shin SW, Park KB, Park HS, Cho SK and Han SH: Long-term clinical outcomes after endovascular management of ruptured pseudoaneurysm in patients undergoing pancreaticoduodenectomy. Ann Surg Treat Res. 96:237–247. 2019.PubMed/NCBI View Article : Google Scholar
11	Meyers PM, Shcumacher HC, Higashida RT, Derdeyn CP, Nesbit GM, Sacks D, Wechsler LR, Bederson JB, Lavine SD and Rasmussen P: Reporting standards for endovascular repair of saccular intracranial cerebral aneurysms. AJNR Am J Neuroradiol. 31:E12–E24. 2010.PubMed/NCBI
12	Hermann AL, Polivka M, Loit MP, Guichard JP and Bousson V: Aneurysmal bone cyst of the frontal bone-A radiologic-pathologic correlation. J Radiol Case Rep. 12:16–24. 2018.PubMed/NCBI View Article : Google Scholar
13	Afnan J, Snuderl M and Small J: Intracranial, intradural aneurysmal bone cyst. Clin Imaging. 39:297–299. 2015.PubMed/NCBI View Article : Google Scholar
14	Ghermandi R, Terzi S, Gasbarrini A and Boriani S: Denosumab: Non-surgical treatment option for selective arterial embolization resistant aneurysmal bone cyst of the spine and sacrum. Case report. Eur Rev Med Pharmacol Sci. 20:3692–3695. 2016.PubMed/NCBI
15	Bazzocchi A, Spinnato P, Mercatelli D and Aparisi Gómez MP: Fluid-fluid levels in aneurysmal bone cysts. J Pediatr. 204(317)2019.PubMed/NCBI View Article : Google Scholar
16	Lopez LV, Roduriguez MG, Siegal GP and Wei S: Extraskeletal aneurysmal bone cyst: Report of a case and review of the literature. Pathol Res Pract. 213:1445–1449. 2017.PubMed/NCBI View Article : Google Scholar
17	Baker KS, Gould ES, Patel HB and Hwang SJ: Soft tissue aneurysmal bone cyst: A rare case in a middle aged patient. J Radiol Case Rep. 9:26–35. 2015.PubMed/NCBI View Article : Google Scholar
18	Mankin HJ, Homicek FJ, Ortiz-Cruz E, Villafuerte J and Gebhardt MC: Aneurysmal bone cyst: A review of 150 patients. J Clin Oncol. 23:6756–6762. 2015.PubMed/NCBI View Article : Google Scholar
19	Steffner RJ, Liao C, Stacy G, Atanda A, Attar S, Avedian R and Peabody TD: Factors associated with recurrence of primary aneurysmal bone cysts: Is argon beam coagulation an effective adjuvant treatment? J Bone Joint Surg Am. 93:e1221–e1229. 2011.PubMed/NCBI View Article : Google Scholar
20	Patel RS, Dhamne CA, Gopinathan A and Kumar N and Kumar N: Denosumab: A potential treatment option for aneurysmal bone cyst of the atlas. Eur Spine J. 27 (Suppl 3):S494–S500. 2018.PubMed/NCBI View Article : Google Scholar
21	Rajput D, Tungaria A, Jaiswal A and Jain V: Aneurysmal bone cyst of clivus and C1 C2: Case report and review of literature. Turk Neurosurg. 22:105–108. 2012.PubMed/NCBI View Article : Google Scholar
22	Doss VT, Weaver J, Didier S and Arthur AS: Serial endovascular embolization as stand-alone treatment of a sacral aneurysmal bone cyst. J Neurosurg Spine. 20:234–238. 2014.PubMed/NCBI View Article : Google Scholar
23	Patsalides A, Leng LZ, Kimball D, Marcus J, Knopman J, Laufer I, Bilsky M and Gobin YP: Preoperative catheter spinal angiography and embolization of cervical spinal tumors: Outcomes from a single Center. Interv Neuroradiol. 22:457–465. 2016.PubMed/NCBI View Article : Google Scholar
24	Guo J, Yu J, Zhang Q and Song X: Clinical efficacy and safety of Utrine artery embolization (UAE) versus laparoscopic Cesarean scar pregnancy debridement surgery (LCSPDS) in treatment of Cesarean scar pregnancy. Med Sci Monit. 24:4659–4666. 2018.PubMed/NCBI View Article : Google Scholar
25	Simm PJ, O'Sullivan M and Zacharin MR: Successful treatment of a sacral aneurysmal bone cyst with Zoledronic acid. J Pediatr Orthop. 33:e61–e64. 2013.PubMed/NCBI View Article : Google Scholar
26	Topouchian V, Mazda K, Hamze B, Laredo JD and Penneçot GF: Aneurysmal bone cysts in children: Complications of fibrosing agent injection. Radiology. 232:522–526. 2004.PubMed/NCBI View Article : Google Scholar
27	Peraud A, Drake JM, Armstrong D, Hedden D, Babyn P and Wilson G: Fatal ethibloc embolization of vertebrobasilar system following percutaneous injection into aneurysmal bone cyst of the second cervical vertebra. AJNR Am J Neuroradiol. 25:1116–1120. 2004.PubMed/NCBI