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Published in: Child's Nervous System 2/2024

01-10-2023 | aneurysmal bone cyst | Case Report

Adjunct role of liquid absolute alcohol intralesional sclerotherapy during the surgical management of spinal primary aneurysmal bone cyst in a child: a technical case report

Authors: Rajeev Sharma, Sarvesh Goyal, Rajinder Kumar Laythalling

Published in: Child's Nervous System | Issue 2/2024

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Abstract

Background

Aneurysmal bone cyst is composed of variable -sized cystic blood-filled spaces separated by connective tissue septae. First-line surgical resection of spinal aneurysmal bone cyst in a child with limited total blood volume can lead to massive intraoperative bleeding, thus limiting extent of resection. Our Centre’s has good experience of using absolute alcohol as an effective immediate devascularizing agent during vertebral hemangioma surgery in children.

Material and methods

We report the first case of pediatric lumbar primary aneurysmal bone cyst in which completely blood-less piecemeal total resection of the lesion was performed after intraoperative absolute alcohol intralesional sclerotherapy.

Results

Completely blood-less piecemeal total resection of the lumbar aneurysmal bone cyst was performed after intraoperative absolute alcohol intralesional sclerotherapy.

Conclusion

Intraoperative absolute alcohol intralesional sclerotherapy is a very effective devascularizing adjunct for complete piecemeal resection of spinal aneurysmal bone cyst in children with limited blood volume.
Literature
7.
go back to reference Singh PK, Chandra PS, Vaghani G et al (2016) Management of pediatric single-level vertebral hemangiomas presenting with myelopathy by three-pronged approach (ethanol embolization, laminectomy, and instrumentation): a single-institute experience. Childs Nerv Syst ChNS Off J Int Soc Pediatr Neurosurg 32:307–314. https://doi.org/10.1007/s00381-015-2941-xCrossRef Singh PK, Chandra PS, Vaghani G et al (2016) Management of pediatric single-level vertebral hemangiomas presenting with myelopathy by three-pronged approach (ethanol embolization, laminectomy, and instrumentation): a single-institute experience. Childs Nerv Syst ChNS Off J Int Soc Pediatr Neurosurg 32:307–314. https://​doi.​org/​10.​1007/​s00381-015-2941-xCrossRef
15.
Metadata
Title
Adjunct role of liquid absolute alcohol intralesional sclerotherapy during the surgical management of spinal primary aneurysmal bone cyst in a child: a technical case report
Authors
Rajeev Sharma
Sarvesh Goyal
Rajinder Kumar Laythalling
Publication date
01-10-2023
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 2/2024
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-023-06149-y

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