The best solution is the simplest: advances in surgical and minimally invasive management of aneurysmal and simple bone cysts - PubMed
6 hours ago
- #Minimally invasive surgery
- #Simple bone cysts
- #Aneurysmal bone cysts
- Aneurysmal bone cysts (ABCs) and simple bone cysts (SBCs) are benign osseous lesions affecting children and adolescents, causing pain, deformity, or fractures.
- Intralesional curettage is the standard surgical approach for ABCs, with adjuvants like high-speed burring, cryotherapy, or cementation reducing recurrence rates.
- En bloc resection offers the lowest recurrence for ABCs but is limited by procedural morbidity and poor functional outcomes.
- Minimally invasive treatments for ABCs, such as sclerotherapy, selective arterial embolization, endoscopic curettage, and image-guided ablation, show high healing rates and fewer complications.
- Management of SBCs includes observation or intervention for symptomatic or unstable lesions, with elastic stable intramedullary nailing (ESIN) providing decompression and structural stability.
- Advances in minimally invasive and biologic therapies are reshaping treatment paradigms, but standardized outcome measures and comparative trials are still needed.