An aneurysmal bone cyst at T1 treated with bone grafts containing calcitonin and methylprednisolone
Aneurysmal bone cysts (ABCs) rarely trigger pathological fractures. Various surgical and nonsurgical treatments have been reported for this condition. Herein, we present the examination findings and treatment for a 15-year-old girl who initially presented with adolescent idiopathic scoliosis and mil...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2019-04-01
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| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/2309499019839626 |
| _version_ | 1819051079944372224 |
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| author | Akinori Okuda Hideki Shigematsu Eiichiro Iwata Masato Tanaka Yasuhiko Morimoto Keisuke Masuda Chiho Ohbayashi Yasuhito Tanaka |
| author_facet | Akinori Okuda Hideki Shigematsu Eiichiro Iwata Masato Tanaka Yasuhiko Morimoto Keisuke Masuda Chiho Ohbayashi Yasuhito Tanaka |
| author_sort | Akinori Okuda |
| collection | DOAJ |
| description | Aneurysmal bone cysts (ABCs) rarely trigger pathological fractures. Various surgical and nonsurgical treatments have been reported for this condition. Herein, we present the examination findings and treatment for a 15-year-old girl who initially presented with adolescent idiopathic scoliosis and mild back pain, but subsequently experienced severe back pain. Magnetic resonance imaging revealed an ABC at T1, with an associated pathological fracture. We successfully treated the patient using posterior fixation with instrumentation, curettage, and bone grafts combined with calcitonin and methylprednisolone (mPSL). At 3 years post-surgery, there was no ABC recurrence and only mild back pain persisted. To our knowledge, this is the first report of open surgery (curettage and fixation) with local intralesional administration of calcitonin and mPSL for an ABC-induced pathological spinal fracture. We believe that this treatment is an effective option for ABCs associated with a pathological spinal fracture. |
| first_indexed | 2024-12-21T11:58:15Z |
| format | Article |
| id | doaj.art-0e7a45dd40624d988c18a8851c5fc556 |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-12-21T11:58:15Z |
| publishDate | 2019-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-0e7a45dd40624d988c18a8851c5fc5562022-12-21T19:04:53ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902019-04-012710.1177/2309499019839626An aneurysmal bone cyst at T1 treated with bone grafts containing calcitonin and methylprednisoloneAkinori Okuda0Hideki Shigematsu1Eiichiro Iwata2Masato Tanaka3Yasuhiko Morimoto4Keisuke Masuda5Chiho Ohbayashi6Yasuhito Tanaka7 Department of Orthopedic Surgery, Nara Medical University, Kashihara, Japan Department of Orthopedic Surgery, Nara Medical University, Kashihara, Japan Department of Orthopedic Surgery, Nara Medical University, Kashihara, Japan Department of Orthopedic Surgery, Nara Medical University, Kashihara, Japan Department of Orthopedic Surgery, Nara Medical University, Kashihara, Japan Department of Orthopedic Surgery, Nara Medical University, Kashihara, Japan Department of Diagnostic Pathology, Nara Medical University, Kashihara, Japan Department of Orthopedic Surgery, Nara Medical University, Kashihara, JapanAneurysmal bone cysts (ABCs) rarely trigger pathological fractures. Various surgical and nonsurgical treatments have been reported for this condition. Herein, we present the examination findings and treatment for a 15-year-old girl who initially presented with adolescent idiopathic scoliosis and mild back pain, but subsequently experienced severe back pain. Magnetic resonance imaging revealed an ABC at T1, with an associated pathological fracture. We successfully treated the patient using posterior fixation with instrumentation, curettage, and bone grafts combined with calcitonin and methylprednisolone (mPSL). At 3 years post-surgery, there was no ABC recurrence and only mild back pain persisted. To our knowledge, this is the first report of open surgery (curettage and fixation) with local intralesional administration of calcitonin and mPSL for an ABC-induced pathological spinal fracture. We believe that this treatment is an effective option for ABCs associated with a pathological spinal fracture.https://doi.org/10.1177/2309499019839626 |
| spellingShingle | Akinori Okuda Hideki Shigematsu Eiichiro Iwata Masato Tanaka Yasuhiko Morimoto Keisuke Masuda Chiho Ohbayashi Yasuhito Tanaka An aneurysmal bone cyst at T1 treated with bone grafts containing calcitonin and methylprednisolone Journal of Orthopaedic Surgery |
| title | An aneurysmal bone cyst at T1 treated with bone grafts containing calcitonin and methylprednisolone |
| title_full | An aneurysmal bone cyst at T1 treated with bone grafts containing calcitonin and methylprednisolone |
| title_fullStr | An aneurysmal bone cyst at T1 treated with bone grafts containing calcitonin and methylprednisolone |
| title_full_unstemmed | An aneurysmal bone cyst at T1 treated with bone grafts containing calcitonin and methylprednisolone |
| title_short | An aneurysmal bone cyst at T1 treated with bone grafts containing calcitonin and methylprednisolone |
| title_sort | aneurysmal bone cyst at t1 treated with bone grafts containing calcitonin and methylprednisolone |
| url | https://doi.org/10.1177/2309499019839626 |
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