ABSTRACT
Aneurysmal bone cysts are very rare in the calvaria. We are reporting a 23 year old white male with a very large right frontal aneurysmal bone cyst and a large follow-up period. The MRI findings--a multiloculated expansive tumor with fluid levels inside--are almost pathognomonic for this lesion. Radical surgery was curative for this patient.
Subject(s)
Bone Cysts, Aneurysmal/diagnosis , Frontal Bone/pathology , Skull Neoplasms/diagnosis , Adult , Bone Cysts, Aneurysmal/surgery , Frontal Bone/surgery , Humans , Magnetic Resonance Imaging , Male , Neoplasms, Second Primary/pathology , Neoplasms, Second Primary/surgery , Skull Neoplasms/surgeryABSTRACT
Desde finales de 1992 hemos venido realizando artrodesis intersomática lumbar, inicialmente añadiendo fusión posterolateral instrumentada con tornillos pediculares y, posteriormente artrodesis intersomática sola con cilindros de titanio y hueso autólogo. Queremos presentar nuestros resultados en un grupo de 52 pacientes con seguimiento que oscila desde los 4 años y medio hasta los seis meses. Para valorar los resultados hemos usado la, escala de Prolo (Prolo Functional Economic Outcome Rating Scale) obteniendo un alto porcentaje ( 92 por ciento ) de resultados satisfactorios. El porcentaje de fusión, aun considerando la dificultad de su valoración por el artefacto radiológico provocado por los cilindros, es igualmente muy elevada cercana al 100 por ciento ).Concluimos que la artrodesis intersomática con cilindros-es una-intervención- quirúrgica con la que se obtienen resultados muy favorables si se siguen unos criterios clínicos estrictos en su aplicación y una correcta técnica quirúrgica (AU)
Subject(s)
Adult , Male , Humans , Aged , Female , Middle Aged , Lumbar Vertebrae , Spinal Fusion , Follow-Up StudiesABSTRACT
Since late 1992 we started performing posterior lumbar interbody fusions together with pedicular screws and intertransverse fusion. Later on we decided to use posterior lumbar interbody fusions with titanium cages and autologous bone. We are presenting our results with a group of 52 patients with 6 months to 4 and a half years of follow-up. We have used the Prolo Functional Economic Outcome Rating Scale to evaluate our results, obtaining a high percentage (92%) of satisfactory results. The fusion's percentage was also very high, although we express the difficulty to evaluate the fusion grade considering the X-ray artifact produced by the cages. We conclude that PLIF with cages it is a surgical procedure with a high rate of success if we establish clearly the clinical criteria for its application and perform correctly the surgical technique.
Subject(s)
Lumbar Vertebrae/surgery , Spinal Fusion/methods , Adult , Aged , Female , Follow-Up Studies , Humans , Male , Middle AgedABSTRACT
We report the cases of two women who underwent surgery for radical resection of sphenoidal hyperostosing meningiomas "en plaque". Outcome was excellent seven and eight years after surgery. The removal of such osseous sphenoidal lesions has always been accompanied by high rates of morbidity, mortality and recurrence. With new surgical approaches and greater exposure of the skull base, interest is again being directed toward complete resection of these rare tumors, which involve scarce intradural but extensive bone invasion.
