Original scientific paper

https://doi.org/10.20471/acc.2019.58.03.01

TREATMENT OF UNICAMERAL BONE CYSTS IN CHILDREN: A COMPARATIVE STUDY

Bojan Bukva orcid.org/0000-0001-6089-9474 ; University Children’s Hospital, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, Serbia
Goran Vrgoč orcid.org/0000-0002-4541-4659 ; Department of Orthopedic Surgery, Sveti Duh University Hospital, Zagreb, Croatia; Faculty of Kinesiology, University of Zagreb, Zagreb, Croatia
Dušan Abramović ; University Children’s Hospital, Belgrade, Serbia; 2Faculty of Medicine, University of Belgrade, Belgrade, Serbia
Siniša Dučić ; University Children’s Hospital, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, Serbia
Iva Brkić ; Department of ENT and Head and Neck Surgery, Sveti Duh University Hospital, Zagreb, Croatia
Tomislav Čengić ; Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia

Abstract

Unicameral bone cysts (UBC) are benign bone tumor-like lesions. Mostly they are located in the metaphyseal-diaphyseal region of long bones in children and adolescents. The etiology of UBC is still unclear. There is no consensus about the protocol of UBC treatment. The aim of this study was to evaluate the effectiveness of three different techniques for the treatment of UBC. This study included 129 pediatric patients with UBC treated at University Children’s Hospital in Belgrade during the 8-year period. The mean follow up was 7.14 years. The following parameters were observed: gender, age, site, length of cyst, cyst index, cortical thickness, presentation of pathologic fracture, healing of cyst, treatment complications and length of hospitalization. These parameters were correlated to three treatment modalities, i.e. intracystic methylprednisolone acetate injection (group 1), curettage with bone grafting (group 2) and osteoinductive procedure using demineralized bone matrix (group 3). We found statistically significant differences in healing of the cysts and length of hospital treatment between groups 1 and 2, and between groups 2 and 3. In conclusion, complete healing of UBC can be achieved only using open surgery procedure. Intracystic methylprednisolone acetate instillation can be considered a good option for initial treatment of UBC.

Keywords

Bone cysts; Child; Injections, intralesional; Bone transplantation; Bone matrix

Hrčak ID:

230049

URI

https://hrcak.srce.hr/230049

Publication date:

1.9.2019.

Article data in other languages: croatian

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