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Sclerotherapy with polidocanol for treatment of aneurysmal bone cysts.
- Source :
-
Acta orthopaedica [Acta Orthop] 2013 Oct; Vol. 84 (5), pp. 502-5. Date of Electronic Publication: 2013 Oct 31. - Publication Year :
- 2013
-
Abstract
- Background and Purpose: Recent data suggest that percutaneous sclerotherapy is a safe alternative to surgery for treatment of aneurysmal bone cysts (ABCs). We present our experience of this method.<br />Methods: We retrospectively analyzed data from 38 consecutive patients treated with repeated injections of polidocanol. Each injection consisted of 2-4 mg polidocanol per kg body weight. Radiological and clinical assessments were performed until healing.<br />Results: All cycts except 1 healed after a median of 4 (1-11) injections. A lesion failed to heal in 1 patient, who was operated. 3 patients experienced minor local inflammatory reactions.<br />Interpretation: Our results show that percutaneus sclerotherapy with polidocanol has high efficacy in the treatment of ABCs, with a low frequency of side effects. Our findings corroborate data presented in previous publications. We believe that the method will be especially valuable in ABCs of the pelvis and sacrum, where surgery is associated with considerable morbidity.
- Subjects :
- Adolescent
Adult
Bone Cysts, Aneurysmal diagnostic imaging
Child
Child, Preschool
Female
Humans
Injections, Intralesional
Male
Musculoskeletal Pain etiology
Polidocanol
Radiography
Retrospective Studies
Treatment Outcome
Young Adult
Bone Cysts, Aneurysmal therapy
Polyethylene Glycols administration & dosage
Sclerosing Solutions administration & dosage
Subjects
Details
- Language :
- English
- ISSN :
- 1745-3682
- Volume :
- 84
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Acta orthopaedica
- Publication Type :
- Academic Journal
- Accession number :
- 24171682
- Full Text :
- https://doi.org/10.3109/17453674.2013.850013