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Ichilov Medical Center
Orthopaedics

Treatment of Aneurysmal Bone Cyst of the Spine in Israel

A bone cyst is a cavity that forms in the bone tissue as a result of disrupted blood circulation and the formation of lysosomal enzymes that destroy cells and cause inflammation in a specific area of the bone, leading to the breakdown of proteins and increased pressure in the formed cavity.

This is a dangerous condition that falls under the tumor category and leads to massive bone destruction and fractures.

In the orthopedic department of the leading Israeli medical center Top Ichilov, specialists of international caliber easily manage this pathology, applying all their vast experience accumulated over years of successful practice and advanced techniques of modern medicine for its treatment.

Bone cysts come in two types:

  • Solitary cysts (juvenile) - primarily occur in boys aged 10-15, affecting the femur and humerus.
  • Aneurysmal cysts - more commonly found in girls aged 10-15, affecting the vertebrae, pelvic bones, or, very rarely, the tubular bones of the hands.

This article will discuss the aneurysmal cyst of the spine as the most common pathology, the treatment and diagnosis of which are effectively and quickly handled by leading Israeli orthopedic surgeons at Top Ichilov, annually returning dozens of young patients from different countries to normal life after choosing treatment in Israel.

Treatment of Aneurysmal Cyst of the Spine in Israel

Experienced orthopedic and pediatric surgeons at Top Ichilov prefer to treat the aneurysmal cyst of the spine using conservative methods that do not harm the child's body: a special plaster cast may be used to relieve pressure on the injured vertebra.

Aneurysmal Bone Cyst of the SpineTherapeutic punctures are also performed - two needles are inserted into the cyst cavity to take samples for cytological and other studies, then substances that promote cyst closure are introduced into the cyst cavity, and multiple perforations of the cavity walls are carried out to reduce pressure within it. Such punctures are performed 3 times with intervals of 3 weeks.

If conservative treatment does not yield results and there is a risk of serious bone destruction or spinal cord compression, surgical intervention is performed:

  • Intralesional curettage - the contents of the cyst are aspirated under the observation of modern video equipment.
  • Cyst removal - the cyst wall is opened, its contents are aspirated, and then the cyst membrane is excised in stages.

If there are contraindications for surgery, the doctor may refer the patient for a course of radiation therapy.

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Causes and Symptoms of Aneurysmal Cyst of the Spine

The aneurysmal cyst of the spine most often forms after an injury, and its appearance is accompanied by:

  • fairly severe pain
  • local hyperthermia
  • swelling at the site of the cyst formation
  • venous dilation
  • the occurrence of contracture in the joint nearest to the injury site
  • disruption of spinal root functions.

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