Painful, pediatric sacral aneurysmal bone cyst treated by curettage and fresh frozen allograft

Murat Aydın; Güray Toğral; Fevzi Kekeç; Murat Arıkan; Şafak Güngör

doi:10.5606/ehc.2016.22

Murat Aydın¹, Güray Toğral², Fevzi Kekeç², Murat Arıkan², Şafak Güngör²

¹Department of Orthopedics and Traumatology, Afyonkarahisar Şuhut State Hospital, Afyonkarahisar, Turkey
²Department of Orthopedics and Traumatology, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Turkey

Keywords: Aneurysmal; bone cysts; curettage; sacrum.

Abstract

In this article, we report a rarely localized sacral aneurysmal bone cyst (ABC) successfully treated by curettage and bone grafting with fresh frozen fibular allograft (FFA) in a 14-year-old girl patient. The cyst was at S1-2 level and treated with aggressive curettage and bone grafting with two FFAs. All complaints of the patient resolved at the 24th month of treatment and bony union of the cystic cavity was observed radiologically. Curettage and FFA may be safely used for filling the cavity in the treatment of sacral ABC in pediatric age to provide a structural and biological reinforcement.