Surgical Treatment of Active Aneurysmal Bone Cyst Through Layered Alloplastic

Abstract

Objective of the study: to evaluate the effectiveness of layered alloplasty in the surgical treatment of active aneurysmal bone cysts (ABCs) in children. Materials and methods of research: from 2007 to 2020 56 patients with ABCs were treated in the Neuroortopedic Department with orthopedics of the National Medical Research Center for Children’s Health (Moscow, Russia). All patients have underwent a comprehensive clinical and radiological examination, including the determination of intraosseous pressure (IOP) to determine the activity of the pathological process. Surgical treatment of 19 patients with ABCs was performed through layered alloplastic method of the cyst cavity with the enhancing of the bone growth zone with alloimplants based on sea coral. Results: the results of treatment were evaluated on the basis of an analysis of the radiographic picture of reconstruction of bone implants and restoration of bone tissue structure, as well as analysis of the quality of life of patients in the 1st and 2nd module of the PedsQL Generic Core scale questionnaire before and after surgical treatment. Conclusion: the use of layered plasticity of a bone defect in the surgical treatment of ABCs can be considered as effective method for preventing recurrence of the disease.