Treatment of aneurysmal bone cysts using polidocanol: Is it useful?

Abstract

According to recent research, percutaneous sclerotherapy for the treatment of aneurysmal bone cysts provides a secure substitute for surgery. We share our first-hand knowledge of this approach. Ten patients who received polidocanol injections repeatedly were examined. Polidocanol was injected in doses of 2 mg per kilogram of body weight. Clinical and radiological evaluations were done up to healing. After a mean of 4.7(1-11) injections, all cysts had healed. 1 individual had a small amount of local inflammation. Our findings demonstrate the high efficacy of percutaneous sclerotherapy with polidocanol in the treatment of ABCs, as well as its low frequency of adverse effects. Our results support the information provided in earlier publications. Since surgery is associated with significant morbidity in ABCs of the pelvis and sacrum, we think the approach will be especially helpful in these cases.