| Long-term follow-up of Ethibloc injection in aneurysmal bone cysts. | |
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MedLine Citation:
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PMID: 19657285 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The aim of this study is to assess the long-term results of Ethibloc injection in aneurysmal bone cysts (ABC). Thirty-three patients with ABC were treated with computed tomography-guided percutaneous injection of Ethibloc into the cyst cavity. Twenty-two patients had Ethibloc injection as primary treatment and 11 patients had presented to us with recurrence after previous procedures including steroid injection, bone marrow injection, curettage bone grafting and various other surgical procedures. The mean follow-up was 54 (22-90) months. Symptoms were relieved in all patients. Two patients were lost to follow-up. Eighteen (58%) of the 31 patients followed, had complete resolution of the lesion, 11 (35.5%) patients had partial healing (asymptomatic residual nonprogressive lytic areas). Two (6.5%) patients showed recurrence in the proximal humerus during the follow-up. They are under follow-up but asymptomatic and another two patients encountered more significant complications after the procedure. Ethibloc injection is a relatively simple, minimally invasive alternative procedure for the treatment of ABC, and makes open operation unnecessary by stopping the expansion of the cyst and inducing endosteal new bone formation. This technique may be used as the primary management of ABC's excluding spinal lesions as shown by our largest and longest follow-up study. |
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Authors:
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Harvey L George; Puthanveettil Nithin Unnikrishnan; Neeraj K Garg; Jayanth Sundar Sampath; Alf Bass; Colin E Bruce |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of pediatric orthopedics. Part B Volume: 18 ISSN: 1473-5865 ISO Abbreviation: J Pediatr Orthop B Publication Date: 2009 Nov |
Date Detail:
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Created Date: 2011-01-10 Completed Date: 2011-05-19 Revised Date: 2012-09-17 |
Medline Journal Info:
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Nlm Unique ID: 9300904 Medline TA: J Pediatr Orthop B Country: United States |
Other Details:
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Languages: eng Pagination: 375-80 Citation Subset: IM |
Affiliation:
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Department of Orthopaedics, Alder Hey Children's Hospital, Liverpool, UK. harveygeorge@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Bone Cysts, Aneurysmal / drug therapy*, radiography Child Child, Preschool Diatrizoate / administration & dosage, therapeutic use* Drug Combinations Fatty Acids / administration & dosage, therapeutic use* Female Follow-Up Studies Humans Injections, Intralesional Male Propylene Glycols / administration & dosage, therapeutic use* Radiography, Interventional Recurrence / prevention & control Sclerosing Solutions / administration & dosage, therapeutic use* Treatment Outcome Zein / administration & dosage, therapeutic use* |
| Chemical | |
Reg. No./Substance:
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0/Drug Combinations; 0/Fatty Acids; 0/Propylene Glycols; 0/Sclerosing Solutions; 117-96-4/Diatrizoate; 9010-66-6/Zein; 91196-33-7/alcoholic prolamine solution |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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