Published in:
01-02-2015 | Case Report
Treatment of a spinal aneurysmal bone cyst using combined image-guided cryoablation and cementoplasty
Authors:
Georgia Tsoumakidou, Chow Wei Too, Julien Garnon, Jean-Paul Steib, Afshin Gangi
Published in:
Skeletal Radiology
|
Issue 2/2015
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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.