{"id":"1efce75a-3445-4c83-ba3d-45d7dc0cf891","slug":"giant-sacral-aneurysmal-bone-cyst-treated-with-endovascular-embolization","title":"Giant sacral aneurysmal bone cyst treated with endovascular embolization","authors":["Samuel Sequeira Lemos","Diogo Belo","Filipe Veloso Gomes"],"abstract":"Background: Spine aneurysmal bone cysts (SABC) are osteolytic tumor-like lesions with cystic, blood-filled cavities that represent 15% of all primary spinal bone tumors. The sacrum is a rare site for SABC, and sacral lesions typically carry higher morbidity rates. Here, a 19-year-old female with a large primary multisegmental sacral SABC was successfully managed with 2-staged endovascular embolization. Case Description: A 19-year-old female presented with progressive worsening of axial lumbosacral pain, and a left L5/S1 radiculopathy. The lumbosacral computed tomography and magnetic resonance studies showed a large (10 cm [AP] × 11 cm [Tr] × 12 cm [CC]) heterogeneous, osteolytic lesion containing multiple fluid-fluid levels. The biopsy confirmed the diagnosis of a primary SABC. She was treated with a 2-staged endovascular embolization that resolved her pain. This was followed by radiographic confirmation of occlusion of the SABC. Conclusion: A 19-year-old female presented with an atypical SABC that was successfully managed with 2-staged endovascular embolization.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/1efce75a-3445-4c83-ba3d-45d7dc0cf891/featured/hero-1781559958913.png","publishDate":"2023-10-20T00:00:00.000Z","doi":"10.25259/SNI_685_2023","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2023/10/12603/SNI-14-373.pdf"}