Academic Journal
Aneurysmal Bone Cyst of the Pelvis in Children and Adolescents: Effectiveness of Surgical Treatment with Curettage, Cryotherapy and Bone Grafting
| العنوان: | Aneurysmal Bone Cyst of the Pelvis in Children and Adolescents: Effectiveness of Surgical Treatment with Curettage, Cryotherapy and Bone Grafting |
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| المؤلفون: | Andreani L., Ipponi E., Serrano E., De Franco S., Cordoni M., Bechini E., D'Arienzo A., Parchi P. D. |
| المساهمون: | Andreani, L., Ipponi, E., Serrano, E., De Franco, S., Cordoni, M., Bechini, E., D'Arienzo, A., Parchi, P. D. |
| سنة النشر: | 2023 |
| المجموعة: | ARPI - Archivio della Ricerca dell'Università di Pisa |
| مصطلحات موضوعية: | aneurysmal bone cyst, cryotherapy, curettage, pediatric orthopedic, pelvis |
| الوصف: | Background: Aneurysmal bone cysts (ABCs) are benign but locally aggressive cystic lesions of the bone. Pelvic ABCs are extremely rare and hard to treat due to their high risk of local recurrence and the tough access to pelvic bones. Methods: In this retrospective study, we evaluated pediatric cases with pelvic ABC treated with curettage, cryotherapy and bone grafting treated in our institution between 2016 and 2022. Complications were recorded, as well as local recurrences. Patients’ post-operative functionality was assessed with the MSTS score. Results: Fourteen consecutive cases were included in our study. Their mean age at surgery was 13.5 years. The mean lesion size was 55 mm. The mean follow-up was 38 months. Two cases (11.8%) had local recurrences, which were successfully treated with further curettage. At their latest FU, 13 cases were continuously disease free (CDF), and one had no evidence of disease (NED). Only one case had a post-operative compilation (wound dehiscence). Patients’ mean post-operative MSTS score was 29.6. Conclusions: Pelvic ABCs are a challenge, even for the most experienced orthopedic surgeon. Our study suggests that the association of an accurate curettage, intraoperative cryotherapy and bone grafting can be a reliable and effective therapeutic option for large-sized ABCs of the pelvis. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/37830695; volume:11; issue:19; journal:HEALTHCARE; https://hdl.handle.net/11568/1216390; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85173862966 |
| DOI: | 10.3390/healthcare11192658 |
| الاتاحة: | https://hdl.handle.net/11568/1216390 https://doi.org/10.3390/healthcare11192658 |
| رقم الانضمام: | edsbas.B911E4FF |
| قاعدة البيانات: | BASE |
| DOI: | 10.3390/healthcare11192658 |
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