Solitary bone cyst of a lumbar vertebra handled with percutaneous steroid injection: a case report and assessment of literature.
Eur Backbone J. 2017 Could;26(Suppl 1):58-62
Authors: Funayama T, Gasbarrini A, Ghermandi R, Girolami M, Boriani S
PURPOSE: We describe a uncommon case of solitary bone cyst involving the vertebral physique of L4.
INTRODUCTION: To the very best of the authors’ information, solely 15 circumstances of solitary bone cysts involving the backbone have been reported beforehand. All of the reported circumstances have been handled surgically, together with resection and curettage with or with out bone grafting. Within the present case, therapy was with steroid injection alone.
METHOD: A cystic lesion involving the vertebral physique of L4 was recognized in a 16-year-old lady with persistent low again ache of two years’ period. In accordance with the radiological traits of the lesion, a prognosis of solitary bone cyst was suspected. The affected person underwent surgical intervention with percutaneous steroid injection alone since there was no proof of thinned cortex or pathological fracture. The affected person was discharged 2 days after this intervention with decision of the low again ache.
RESULT: On the ultimate follow-up 7 months after therapy, the affected person was asymptomatic and the start of bony therapeutic was evident.
CONCLUSION: Herein, we reported a particularly uncommon case of solitary bone cyst involving the physique of the fourth lumbar vertebra. Native steroid injection must be thought-about as a minimally invasive intervention for a solitary bone cyst involving the spinal column with no proof of thinned cortex or pathological fracture.
PMID: 27554346 [PubMed – indexed for MEDLINE]