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学科主题: 临床医学
题名:
Treatments for primary aneurysmal bone cysts of the cervical spine: experience of 14 cases
作者: Wang Chao1,2; Liu Xiaoguang1; Jiang Liang1; Yang Shaomin3; Wei Feng1; Wu Fengliang1; Liu Zhongjun1
关键词: aneurysmal bone cyst ; cervical spine ; surgery ; radiotherapy ; selective arterial embolization
刊名: CHINESE MEDICAL JOURNAL
发表日期: 2014-12-05
DOI: 10.3760/cma.j.issn.0366-6999.20132099
卷: 127, 期:23, 页:4082-4086
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Medicine, General & Internal
研究领域[WOS]: General & Internal Medicine
关键词[WOS]: MOBILE SPINE ; MANAGEMENT ; CHILDREN
英文摘要:

Background Aneurysmal bone cyst (ABC) is a benign lesion with the potential to be locally aggressive. The optimal treatment of cervical spine lesions remains controversial. This retrospective study was designed to evaluate the different treatments for primary ABCs of the cervical spine.

Methods This series included eight men and six women diagnosed between 2002 and 2012. A retrospective review of the hospital charts, operating room reports, office charts, and radiographs was performed. The data collected included patient age, sex, radiological features, pathology, treatment methoc′ 3, outcomes, and complications from biopsies and treatments. The mean age at diagnosis was 17.5 years old with a range of 6-35 years. All patients had experienced local pain for a mean of 7.3 months (range, 0.5-18.0 months), and three patients had neurological deficits (one with radiculopathy and two with myelopathy). The Frankel classification before treatment was E in 12 cases, D in one case, and C in one case.

Results Four patients received radiotherapy alone. Ten patients underwent surgery, including five total spondylectomies, two local resections, and three curettages. Three patients received preoperative selective arterial embolization, and four received adjuvant radiotherapy. The mean follow-up time was 44.5 months (range 12-96 months), and no recurrence was identified. Three patients with neurological deficits achieved complete recovery, as noted at the final follow-up examination. One patient received radiotherapy without appropriate immobilization as prescribed and developed C1-C2 subluxation with severe spinal cord compression but without myelopathy. He refused further treatment.

Conclusions The results can be achieved by different treatments (surgical resection/curettage, selective arterial embolization, and radiotherapy) for ABC of the cervical spine. Reconstruction of stability is also important for the treatment of cervical ABC.

语种: 英语
WOS记录号: WOS:000347276500015
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/53170
Appears in Collections:北京大学第三临床医学院_骨科_期刊论文

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作者单位: 1.Peking Univ, Dept Orthoped, Hosp 3, Beijing 100191, Peoples R China
2.Qingdao Univ, Dept Orthoped, Affiliated Hosp, Qingdao 266000, Shandong, Peoples R China
3.Peking Univ, Hlth Sci Ctr, Dept Pathol, Beijing 100191, Peoples R China

Recommended Citation:
Wang Chao,Liu Xiaoguang,Jiang Liang,et al. Treatments for primary aneurysmal bone cysts of the cervical spine: experience of 14 cases[J]. CHINESE MEDICAL JOURNAL,2014,127(23):4082-4086.
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