The Journal of Bone and Joint Surgery, Vol 67, Issue 4 527-531, Copyright © 1985 by Journal of Bone and Joint Surgery, Inc
Aneurysmal bone cyst of the spine
R Capanna, U Albisinni, P Picci, P Calderoni, M Campanacci and DS Springfield
The cases of twenty-two patients with an aneurysmal bone cyst of the spine
above the sacrum were analyzed with regard to sex, age, site, symptoms, and
radiographic findings. Four patients had extension of the lesion to the
adjacent vertebra or rib, and twelve patients had neurological deficits.
The primary treatment was either radiotherapy or surgery alone, or surgery
and radiotherapy combined. No recurrences were found in patients who were
treated with surgery alone or with surgery and radiotherapy, while three of
the six patients who were treated with radiotherapy had a local recurrence,
two of which were fatal. The patients with neurological deficits recovered
after healing of the cyst.