{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:11:42Z","timestamp":1777497102350,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2017,12,1]],"date-time":"2017-12-01T00:00:00Z","timestamp":1512086400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Children's Orthopaedics"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aims to review the results of sclerotherapy using Surgiflo in addition to alcohol in primary aneurysmal bone cysts (ABC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 16 consecutive patients with histologically confirmed diagnosis of primary ABC were treated by percutaneous Surgiflo and alcohol injection at our institution. Clinical follow-up included the assessment of pain, swelling, limping and functional impairment. Radiological parameters included tumour volume, physis-cyst distance, thickness of cyst cortex, and presence of intracystic septations. Mean follow-up was 35,6 months (24\u201371 months). Treatment was considered successful when the cyst volume decreased by a minimum of 10%, the bone cortex became thicker, and the distance to physis increased.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean age at presentation was 9.5 years (5.16\u201313.84 years). All ABC's were primary and all patients underwent a single Surgiflo and alcohol session except for two (12.5%) who required a second session. All patients had a good clinical result at final follow-up. Satisfactory cyst healing was achieved in 11 cases according to radiological parameters. Tumour volume decreased from a mean of 122 cm\n                      <jats:sup>3<\/jats:sup>\n                      (111 to 133) before injection to 86 cm\n                      <jats:sup>3<\/jats:sup>\n                      (76 to 96) at last follow-up (p &lt; 0.01). Physis-cyst distance increased from a mean of 1 cm (0.1 to 2) to 2.1 cm (0.5 to 4) at last follow-up (p &lt; 0.01). Cortical thickness improved from 1 mm (0.5 to 1.5) to 2 mm (1 to 3.5) at last follow-up (p &lt; 0.01). There were no treatment related complications. Surgery was performed in one patient having a C3 vertebra ABC after developing quadriparesis due to tumour progression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Sclerotherapy using Surgiflo and alcohol may be used as an efficient, safe and minimally invasive alternative for the treatment of primary ABCs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1302\/1863-2548.11.170106","type":"journal-article","created":{"date-parts":[[2017,11,16]],"date-time":"2017-11-16T07:23:36Z","timestamp":1510817016000},"page":"448-454","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Sclerotherapy using Surgiflo and alcohol: A new alternative for the treatment of aneurysmal bone cysts"],"prefix":"10.1177","volume":"11","author":[{"given":"I.","family":"Ghanem","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Hotel-Dieu de France Hospital, Saint Joseph University, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Nicolas","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Hotel-Dieu de France Hospital, Saint Joseph University, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Rizkallah","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Hotel-Dieu de France Hospital, Saint Joseph University, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Slaba","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Hotel-Dieu de France Hospital, Saint Joseph University, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,12,1]]},"reference":[{"key":"bibr1-1863-2548.11.170106","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2014.06.031"},{"key":"bibr2-1863-2548.11.170106","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1942.01210240043003"},{"key":"bibr3-1863-2548.11.170106","first-page":"977","volume":"55","author":"R\u0103dulescu R","year":"2014","journal-title":"Rom J Morphol Embryol"},{"key":"bibr4-1863-2548.11.170106","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2005.04.4818"},{"key":"bibr5-1863-2548.11.170106","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-006-0223-5"},{"key":"bibr6-1863-2548.11.170106","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-012-2510-x"},{"key":"bibr7-1863-2548.11.170106","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1097\/00003086-199906000-00023","volume":"363","author":"Leithner 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