title: Treatment of a spinal aneurysmal bone cyst using combined image-guided cryoablation and cementoplasty.
abstract: The authors describe the case of a 6.6-cm symptomatic spinal aneurysmal bone cyst (ABC) in a 17-year-old athlete treated percutaneously. Surgical treatment was not considered as the first option owing to its invasiveness and associated morbidity. CT-guided cryoablation of the expansile part of the ABC was performed for tumour shrinkage and nerve decompression. Thermal insulation, temperature monitoring and functional control/electrostimulation of the neural structures at risk were applied. Finally, the bony defect was cemented. No complications occurred during the procedure. Complete resolution of the ABC on imaging and clinical improvement were achieved. Percutaneous cryoablation should be considered as an alternative treatment option, especially when tumour size reduction is desired.
authors.affiliation: Non-Vascular IR Department, University Hospital of Strasbourg, Strasbourg, France, gtsoumakidou@yahoo.com.
authors.forename: Georgia
authors.initials: G
authors.lastname: Tsoumakidou
authors.forename: Chow Wei
authors.initials: CW
authors.lastname: Too
authors.forename: Julien
authors.initials: J
authors.lastname: Garnon
authors.forename: Jean-Paul
authors.initials: JP
authors.lastname: Steib
authors.forename: Afshin
authors.initials: A
authors.lastname: Gangi
mesh_terms: D000293:Adolescent; D001843:Bone Cements / Q000627:therapeutic use; D017824:Bone Cysts, Aneurysmal / Q000000981:diagnostic imaging / Q000601:surgery*; D003131:Combined Modality Therapy / Q000379:methods; D003452:Cryosurgery / Q000379:methods*; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D013122:Spinal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D054854:Vertebroplasty / Q000379:methods*
chemical_list: D001843:Bone Cements
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