Solitary bone cyst of a lumbar vertebra handled with percutaneous steroid injection: a case report and evaluate 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 most effective of the authors’ data, solely 15 instances of solitary bone cysts involving the backbone have been reported beforehand. All of the reported instances had been handled surgically, together with resection and curettage with or with out bone grafting. Within the present case, remedy was with steroid injection alone.
METHOD: A cystic lesion involving the vertebral physique of L4 was recognized in a 16-year-old woman with persistent low again ache of two years’ period. In line with the radiological traits of the lesion, a analysis 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 last follow-up 7 months after remedy, the affected person was asymptomatic and the start of bony therapeutic was evident.
CONCLUSION: Herein, we reported an especially 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]