title: Successful treatment of a Musculoskeletal Tumor Society grade 3 aneurysmal bone cyst with N-butyl cyanoacrylate embolization and percutaneous cryoablation.
abstract: This report presents a 13-year-old girl with an aggressive skeletal lesion involving the posterior elements of the cervicothoracic junction. The lesion was determined to be a Musculoskeletal Tumor Society grade 3 aneurysmal bone cyst based on imaging and pathologic findings. The cyst was treated with endovascular n-butyl cyanoacrylate embolization and percutaneous cryoablation with sensory and motor-evoked potential monitoring. Follow-up imaging at 16 months demonstrated significant reduction in the size of the lesion, with no evidence of recurrence.
authors.affiliation: Departments of Radiology.
authors.forename: Julius
authors.initials: J
authors.lastname: Griauzde
authors.affiliation: Departments of Radiology; Departments of Neurosurgery; Departments of Otolaryngology. Electronic address: gemmete@med.umich.edu.
authors.forename: Joseph J
authors.initials: JJ
authors.lastname: Gemmete
authors.affiliation: Departments of Orthopedic Surgery, University of Michigan Hospitals, UH B1D 328, 1500 E. Medical Center Dr., Ann Arbor, MI 48109.
authors.forename: Frances
authors.initials: F
authors.lastname: Farley
mesh_terms: D000293:Adolescent; D017824:Bone Cysts, Aneurysmal / Q000175:diagnosis / Q000628:therapy*; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D003131:Combined Modality Therapy; D003452:Cryosurgery / Q000379:methods*; D004621:Embolization, Therapeutic / Q000379:methods*; D004659:Enbucrilate / Q000008:administration & dosage*; D019054:Evoked Potentials, Motor; D005073:Evoked Potentials, Somatosensory; D005260:Female; D006801:Humans; D064795:Intraoperative Neurophysiological Monitoring / Q000379:methods; D008279:Magnetic Resonance Imaging; D013122:Spinal Diseases / Q000175:diagnosis / Q000628:therapy*; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D004659:Enbucrilate