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The modern treatment of the simple bone cysts.

Ulici A, Balanescu R, Topor L, Barbu M - J Med Life (2012)

Bottom Line: The first group included the patients who have benefited from surgical treatment (42 cases) and the second one included patients who benefited from conservative treatment.Cyst index of more than five and cortical index of less than 1 mm were significantly prone to pathological fractures and had significant poor results after treatment.Our results suggested that an autogenous bone marrow injection is a safe and effective treatment method for simple bone cysts, when compared with the surgical management, but sometimes-repeated injections are necessary.

View Article: PubMed Central - PubMed

Affiliation: Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. alexandruulici@me.com

ABSTRACT
This study was performed between 2007-2012 and encompasses 94 patients. The patients were divided in two groups. The first group included the patients who have benefited from surgical treatment (42 cases) and the second one included patients who benefited from conservative treatment. Out of the total number of cases, 63 cases showed an intact simple bone cyst that was most of the time an accidental discovery. 31 patients presented with fracture sustained on a simple bone cyst. There were 63 boys and 31 girls. Their mean age was 9.9 +/- 2.34 years. Single injection was performed for 49 patients; the rest had double or triple injections. The mean follow-up was 34.5 +/- 6.6 months. The procedure succeeded in obtaining healing in 77 cysts (82%). Cyst index of more than five and cortical index of less than 1 mm were significantly prone to pathological fractures and had significant poor results after treatment. Our results suggested that an autogenous bone marrow injection is a safe and effective treatment method for simple bone cysts, when compared with the surgical management, but sometimes-repeated injections are necessary. Cyst index and cortical width are good indicators for treatment outcome.

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Related in: MedlinePlus

Case distribution according to the applied surgical treatment
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Figure 4: Case distribution according to the applied surgical treatment

Mentions: Surgical treatment consisted in elastic reinforcement 5 cases, dyaphisectomia + bone graft 4 cases, curettage and bone grafting 11 cases, curettage of cystic cavity and osseous substitute 8 cases, curettage of the cystic cavity and structuralized bone graft plus stabilization 24 cases (Fig. 4).


The modern treatment of the simple bone cysts.

Ulici A, Balanescu R, Topor L, Barbu M - J Med Life (2012)

Case distribution according to the applied surgical treatment
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3539840&req=5

Figure 4: Case distribution according to the applied surgical treatment
Mentions: Surgical treatment consisted in elastic reinforcement 5 cases, dyaphisectomia + bone graft 4 cases, curettage and bone grafting 11 cases, curettage of cystic cavity and osseous substitute 8 cases, curettage of the cystic cavity and structuralized bone graft plus stabilization 24 cases (Fig. 4).

Bottom Line: The first group included the patients who have benefited from surgical treatment (42 cases) and the second one included patients who benefited from conservative treatment.Cyst index of more than five and cortical index of less than 1 mm were significantly prone to pathological fractures and had significant poor results after treatment.Our results suggested that an autogenous bone marrow injection is a safe and effective treatment method for simple bone cysts, when compared with the surgical management, but sometimes-repeated injections are necessary.

View Article: PubMed Central - PubMed

Affiliation: Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. alexandruulici@me.com

ABSTRACT
This study was performed between 2007-2012 and encompasses 94 patients. The patients were divided in two groups. The first group included the patients who have benefited from surgical treatment (42 cases) and the second one included patients who benefited from conservative treatment. Out of the total number of cases, 63 cases showed an intact simple bone cyst that was most of the time an accidental discovery. 31 patients presented with fracture sustained on a simple bone cyst. There were 63 boys and 31 girls. Their mean age was 9.9 +/- 2.34 years. Single injection was performed for 49 patients; the rest had double or triple injections. The mean follow-up was 34.5 +/- 6.6 months. The procedure succeeded in obtaining healing in 77 cysts (82%). Cyst index of more than five and cortical index of less than 1 mm were significantly prone to pathological fractures and had significant poor results after treatment. Our results suggested that an autogenous bone marrow injection is a safe and effective treatment method for simple bone cysts, when compared with the surgical management, but sometimes-repeated injections are necessary. Cyst index and cortical width are good indicators for treatment outcome.

Show MeSH
Related in: MedlinePlus