Die „kalzifizierende solitäre Knochenzyste” des 
			 Os sacrum - Eine seltene Knochenzyste und ihre Differenzialdiagnosen

Kondoch, A.; Ewerbeck, Volker; Bernd, L.

doi:10.1055/s-2002-31544

Z Orthop Ihre Grenzgeb

2002

DOI: 10.1055/s-2002-31544

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Die „kalzifizierende solitäre Knochenzyste” des Os sacrum - Eine seltene Knochenzyste und ihre Differenzialdiagnosen

A. Kondoch¹,

Volker Ewerbeck²,

L. Bernd³

Abstract: For the first time, a calcifying solitary bone cyst located in the sacrum is described, By sole resection of a dorsal exostosis causing the complaint, an overtreatment of grave consequences was avoided.

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Cited by 2 publications

References 13 publications

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Solitäre Knochenzysten des Beckens

Delling¹,

Sopta²

2008

Pathologe

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Solitary bone cyst of the pelvis is a rare lesion. The diagnosis is relatively simple providing sufficient material is accumulated during biopsy or surgery. Calcifying forms often cause difficulties in terms of differential diagnosis. Radiographic imaging can be complex when examining large lesions of the pelvis. Biopsy is the method of choice for definitive diagnosis, which should be verified against material gathered surgically or during curettage. Bone tumors of the pelvis have to be considered in the differential diagnosis of the lesion. Large cystic lesions of the pelvis in particular are to be reviewed pathohistologically to avoid false diagnosis. The consequences for the patient in terms of quality of life and life expectancy can be serious. The need for interdisciplinary cooperation is greater than ever to ensure correct diagnosis and therapy of bone lesions.

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Solitäre Knochenzysten des Beckens

Delling¹,

Sopta²

2008

Pathologe

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Treatment of unicameral bone cyst: Systematic review and meta analysis

Kadhim

Thacker

Kadhim³

et al. 2014

Journal of Children's Orthopaedics

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PurposeDifferent treatment modalities have been utilized to treat unicameral bone cyst (UBC), but evidence has not been fully described to support one treatment over another and the optimal treatment is controversial. The aim of this quantitative systematic review was to assess the effectiveness of different UBC treatment modalities.MethodsWe utilized Pubmed to isolate retrospective studies on patients with UBC who received any kind of treatment. The included studies needed to have a minimum sample size of 15 patients, and have provided data on radiographic healing outcome.ResultsSixty-two articles were selected for the meta-analysis from a total of 463 articles. The cumulative sample size was 3,211 patients with 3,217 UBC, and male to female ratio was 2.2:1. The summary or pool estimate of methylprednisolone acetate (MPA) injection resulted in a healing rate of (77.4 %) that was comparable to bone marrow injection (77.9 %). A higher healing rate was observed with MPA injection when inner wall disruption was performed. The pool estimate of bone marrow with demineralized bone matrix injection was high (98.7 %). UBC healing rate after surgical curettage was comparable whether autograft or allograft was utilized (90 %). UBC treatment with flexible intramedullary nails without curettage provided almost 100% healing rate, while continuous decompression with cannulated screws provided 89 % healing rate. Conservative treatment indicated a healing rate of 64.2, 95 % CI (26.7–101.8).ConclusionsActive treatment for UBC provided variable healing rates and the outcomes were favorable relative to conservative treatment. Due to the heterogeneity of the studies and reporting bias, the interpretation of these findings should be handled with caution.

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Die „kalzifizierende solitäre Knochenzyste” des Os sacrum - Eine seltene Knochenzyste und ihre Differenzialdiagnosen

Abstract: For the first time, a calcifying solitary bone cyst located in the sacrum is described, By sole resection of a dorsal exostosis causing the complaint, an overtreatment of grave consequences was avoided.

Cited by 2 publications

References 13 publications

Solitäre Knochenzysten des Beckens

Solitäre Knochenzysten des Beckens

Treatment of unicameral bone cyst: Systematic review and meta analysis

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