Treatment options for aneurysmal bone cysts include intralesional curettage, segmental excision, en bloc resection and endovascular embolization. The most commonly used treatment is intralesional curettage and selective arterial embolization is normally an adjunctive therapy, not a definitive treatment. We report a case of a C1 lateral mass aneurysmal bone cyst treated with a single session of endovascular embolization. Long-term follow up demonstrated complete resolution of the cyst. A study of aneurysmal bone cyst embolization was conducted and the key points for obtaining maximal devascularization of the cyst along with embolic material and technique are discussed.
KransdorfMJSweetDE. Aneurysmal bone cyst: Concept, controversy, clinical presentation and imaging. AJR Am J Roentgenol1995; 164: 573–580.
2.
BorianiSDe IureFCampanacciLet al.Aneurysmal bone cyst of the mobile spine: Report on 41 cases. Spine (Phila Pa 1976)2001; 26: 27–35.
3.
LeithnerAWindhagerRLangSet al.Aneurysmal bone cyst. A population-based epidemiologic study and literature review. Clin Orthop Relat Res1999; 363: 176–179.
4.
Vergel De DiosAMBondJRShivesTCet al.Aneurysmal bone cyst. A clinicopathologic study of 238 cases. Cancer1992; 69: 2921–2931.
5.
de KleuverMvan der HeulROVeraartBE. Aneurysmal bone cyst of the spine: 31 cases and the importance of the surgical approach. J Pediatr Orthop B1998; 7: 286–292.
6.
PapagelopoulosPJCurrierBLShaughnessyWJet al.Aneurysmal bone cyst of the spine. Management and outcome. Spine (Phila Pa 1976)1998; 23: 621–628.
7.
OzakiTHalmHHillmannAet al.Aneurysmal bone cysts of the spine. Arch Orthop Trauma Surg1999; 119: 159–162.
8.
ParkHYYangSKSheppardWLet al.Current management of aneurysmal bone cysts. Curr Rev Musculoskelet Med2016; 9: 435–444.
9.
TsagozisPBrosjoO. Current strategies for the treatment of aneurysmal bone cysts. Orthop Rev (Pavia)2015; 7: 6182.
10.
GuarnieriGVassalloPMutoMet al.Percutaneous treatment of symptomatic aneurysmal bone cyst of L5 by percutaneous injection of osteoconductive material (Cerament). J Neurointerv Surg2014; 6: e43.
11.
GuarnieriGAmbrosanioGVassalloPet al.Combined percutaneous and endovascular treatment of symptomatic aneurysmal bone cyst of the spine: Clinical six months. Follow-up of six cases. Neuroradiol J2010; 23: 74–84.
12.
PatelRSDhamneCAGopinathanAet al.Denosumab: A potential treatment option for aneurysmal bone cyst of the atlas. Eur Spine J2018; 27: 494–500.
13.
SkubitzKMPeltolaJCSantosERet al.Response of aneurysmal bone cyst to denosumab. Spine (Phila Pa 1976)2015; 40: E1201–1204.
14.
GhermandiRTerziSGasbarriniAet al.Denosumab: Non-surgical treatment option for selective arterial embolization resistant aneurysmal bone cyst of the spine and sacrum. Case report. Eur Rev Med Pharmacol Sci2016; 20: 3692–3695.
15.
DuboryAMissenardGDomontJet al.Interest of denosumab for the treatment of giant-cells tumors and aneurysmal bone cysts of the spine. About nine cases. Spine (Phila Pa 1976)2016; 41: E654–660.
16.
AmendolaLSimonettiLSimoesCEet al.Aneurysmal bone cyst of the mobile spine: The therapeutic role of embolization. Eur Spine J2013; 22: 533–541.
17.
ZenonosGJamilOGovernaleLSet al.Surgical treatment for primary spinal aneurysmal bone cysts: Experience from Children's Hospital Boston. J Neurosurg Pediatr2012; 9: 305–315.
18.
KociTMMehringerCMYamagataNet al.Aneurysmal bone cyst of the thoracic spine: Evolution after particulate embolization. AJNR Am J Neuroradiol1995; 16: 857–860.
19.
RossiGRimondiEBartalenaTet al.Selective arterial embolization of 36 aneurysmal bone cysts of the skeleton with N-2-butyl cyanoacrylate. Skeletal Radiol2010; 39: 161–167.
20.
Hacein-BeyLDanielsDLUlmerJLet al.The ascending pharyngeal artery: Branches, anastomoses, and clinical significance. AJNR Am J Neuroradiol2002; 23: 1246–1256.
21.
PanoutsakopoulosGPandisNKyriazoglouIet al.Recurrent t(16;17)(q22;p13) in aneurysmal bone cysts. Genes Chromosomes Cancer1999; 26: 265–266.
