PA Medical News about Low Back Pain Bone Cysts, Aneurysmal

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A 17-year-old male with leg weakness and low back pain
JAAPA, 10/23/09

Vajnar J – A 17–year–old male presented to his family physician with low back pain that had progressively worsened over the past few months. At presentation, he was starting to have weakness in both of his legs as well. The physical examination revealed mild soft tissue swelling along the upper lumbar spine and a mild decrease in strength and reflexes in the patient's lower extremities...This young patient was found to have an aneurysmal bone cyst (ABC). These cysts are named for their radiographic appearance, which is aneurysmal or expansile. ABCs are cystic, blood–containing cavities with thin walls and comprise approximately 1% of bone tumors. Although they are benign, ABCs can be locally aggressive, causing pain, deformity, pathologic fractures, and neurologic symptoms. Treatment of an ABC may include surgical curettage, wide resection, vascular embolization, radiation, cryotherapy, or hyperthermia.

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