Treatment of Simple Bone Cysts in Children with Curettage and Cryosurgery

Abstract

A retrospective study in children with simple or unicameral bone cysts treated with curettage, cryosurgery, and bone grafting was conducted. The purpose of this study was to evaluate local tumor control and bony healing after this method of treatment. Five (12%) of 42 treated patients had a local recurrence with a mean clinical follow-up of 24.5 months. Sur gical complications consisted of two superficial wound infec tions, one radial nerve palsy, and two fractures, which all re solved completely. A review of the literature was performed to compare our results with historic controls using steroidinjection therapy and curettage with bone grafting alone. We believe that the use of cryosurgery as adjuvant therapy in the surgical treatment of simple bone cysts is of value in con trolling local recurrences and achieving bony consolidation.

Oncological and functional results of cryosurgical therapy of enchondromas and chondrosarcomas grade 1

“…The duration of partial weight bearing was extended over the years due to increased experience with initial bone resorption as a result of cryosurgery, and therefore increased fracture risk. [15] 36 GCT 7 (19%) 35 (97%) Schreuder et al [13] 120 MUL 10 (8%) 120 (100%) Malawer and Dunham [9] 102 GCT 8 (8%) 102 (100%) Marcove [10] 51 MUL 9 (18%) 51 (100%) Schreuder and Conrad [16] 42 SBC 5 (12%) 41 (98%) Schreuder et al [14] 27 ABC 1 (4%) 27 (100%) Schreuder et al [3] 26 Other known complications of cryosurgery, such as skin lesions and vascular or neurologic compromise, were seen in only a few cases and lead to permanent nerve palsy in one case [27]. This low percentage of complications can be explained by the temperature monitoring of the surrounding soft tissues during cryosurgery and by our large experience with cryosurgery build up in the past years.…”

“…The cryosurgical technique is used in our hospital since 1991 as a powerful modality in the treatment of several benign and low-grade malignant bone tumors [11,12,[14][15][16]. The objective of this study is to analyze the oncological and functional results.…”

Demographics and Characteristics of Patients With Traumatic Bone Cysts: A Retrospective Review

“…10,16 Nevertheless, unusually large TBCs with an aggresive course have been rarely reported. 12 While panoramic radiography is usually sufficient for diagnosing a traumatic bone cyst.…”

“…8 Cryosurgery and bone grafting could be a treatment option in suitable cases. 12 In longstanding or large lesions treatment is by curettage of the cavity, which results in clot formation and complete bony infill. 28 Recurrences are very rare after appropriate surgical treatment (%1.7).…”

“…Cryosurgery, bone grafting and autogenic blood injection could be use as alternative treatment options in some cases. 12 TBC recurrence is a rare event. 13 This report presents the clinical, radiological and surgical findings of 22 patients diagnosed with TBC who were followed at our clinic.…”