Aneurysmal Bone Cyst (ABC) Sacrum - Treatment/Surgery скачать в хорошем качестве

Aneurysmal Bone Cyst (ABC) Sacrum - Treatment/Surgery

Dr Himanshu Tyagi.Spine & Orthopedic surgeon. Artemis Hospital, Delhi NCR. Call 9654095717. MCh Orthopaedics (U.K), FNB Spine surgery, DNB Orthopaedics Aneurysmal bone cyst (ABC), is a non-cancerous bone tumor composed of multiple varying sizes of spaces in a bone which are filled with blood. The term is a misnomer, as the lesion is neither an aneurysm nor a cyst.It generally presents with pain and swelling in the affected bone.Pressure on neighbouring tissues may cause compression effects such as neurological symptoms. The cause is unknown. Diagnosis involves medical imaging. CT scan and X-ray show lytic expansion lesions with clear borders. MRI reveals fluid levels. The afflicted may have relatively small amounts of pain that will quickly increase in severity over a time period of 6–12 weeks. The skin temperature around the bone may increase, a bony swelling may be evident, and movement may be restricted in adjacent joints. Spinal lesions may cause quadriplegia and patients with skull lesions may have headaches. Treatment is usually by curettage, bone grafting or surgically removing the part of bone. 20-30% may recur, usually in the first couple of years after treatment, particularly in children. Commonly affected sites are metaphyses of vertebra, flt bones, femur and tibia.Approximate percentages by sites are as shown: X-ray and CT scan show lytic expansion lesions with clear borders.Expansion of cortex gives the lesion a balloon-like appearance. Larger lesions may appear septated.MRI reveals fluid levels. Bone scan shows outer radiotracer uptake, with a central dark area. Following conditions are excluded before diagnosis can be confirmed. Unicameral bone cystGiant cell tumorTelangiectatic osteosarcomaSecondary aneurysmal bone cyst. Curettage is performed on some people, and is sufficient for inactive lesions. The recurrence rate with curettage is significant in active lesions, and marginal resection has been advised. Liquid nitrogen, phenol, methyl methacrylate are considered for use to kill cells at margins of resected cyst. 20-70% recur after curettage Skull and mandible (4%)Spine (16%)Clavicle and ribs(5%)Upper extremity (21%)Pelvis and sacrum (12%)Femur (13%)Lower leg (24%)Foot (3%) Dr Himanshu Tyagi believes in non surgical treatment for his patients. #spine #backpain #spinehealth #spinesurgeon #slipdisc #drhimanshutyagi #bestspinesurgeon #scoliosis #scoliosistreatment #scoliosissurgery #neckpain #neckpaintreatment #neck #cervicaldischerniation #cervicalpain #cervicalspondylosis #cervicalspine #cervical_spondylosis #lumbar #lumbarfusion #lumbarpain #lumbarspondylosis #lumbarspine #surgery #surgeryresults #surgery #safespinesurgery #spinesurgeryindelhi #bestspinesurgeondelhi #bestslipdiscsurgeondelhi