title: Percutaneous reaming of simple bone cysts in children followed by injection of demineralized bone matrix and autologous bone marrow.
abstract: The authors report the successful treatment of 19 patients (mean age 10 years) with active unicameral bone cysts using a combination of percutaneous reaming and injection of a mixture of demineralized bone matrix and autologous bone marrow. Follow-up ranged from 12 to 42 months (mean 28 months). All patients were asymptomatic at the latest follow-up. Two required a second intervention to accomplish complete cyst healing. Radiographic outcome was improved in all patients according to the Neer classification at the latest follow-up. There were no significant complications related to the procedure, nor did any fracture occur after initiation of the above regimen.
authors.affiliation: Department of Pediatric Orthopaedics, KAT Accident Hospital, Athens, Greece. adkanell@yahoo.com
authors.forename: Anastasios D
authors.initials: AD
authors.lastname: Kanellopoulos
authors.forename: Christos K
authors.initials: CK
authors.lastname: Yiannakopoulos
authors.forename: Panayiotis N
authors.initials: PN
authors.lastname: Soucacos
mesh_terms: D000293:Adolescent; D001845:Bone Cysts / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D018775:Bone Demineralization Technique; D016026:Bone Marrow Transplantation; D001857:Bone Matrix; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005598:Fractures, Spontaneous / Q000150:complications; D006801:Humans; D007267:Injections; D015552:Injections, Intralesional; D008297:Male; D011859:Radiography; D012086:Reoperation; D012189:Retrospective Studies; D014182:Transplantation, Autologous