ORIGINAL RESEARCH article
Front. Pediatr.
Sec. Pediatric Orthopedics
Volume 13 - 2025 | doi: 10.3389/fped.2025.1672550
This article is part of the Research TopicAdvances in Limb-Salvage Surgery and Reconstruction for Pediatric Bone and Soft Tissue TumorsView all 3 articles
Clinical efficacy of percutaneous intramedullary aspiration, irrigation, and injection of absorbable bone in pediatric simple bone cyst
Provisionally accepted
- 1Department of Orthopedics, Shenzhen Second People's Hospital, Shenzhen, China
- 2First Affiliated Hospital of Shenzhen University, Shenzhen, China
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Simple bone cysts (SBCs) are common benign bone lesions that primarily affect the long bones of children and adolescents. Due to their tendency to recur and their potential to cause pathological fractures, a range of treatment strategies has been investigated. This study evaluates the clinical efficacy of percutaneous intramedullary aspiration, irrigation, and injection of absorbable bone (PAIB) in the treatment of pediatric SBCs.All patients underwent the PAIB procedure. Postoperative evaluation involved radiographic assessment to monitor recurrence and identify potential complications, with magnetic resonance imaging (MRI) performed when clinically indicated.In this cohort of 36 patients with SBC treated using the PAIB technique, the mean follow-up duration was 33.5 months (range: 12-66 months). Recurrence occurred in 6 patients (16.6%), including one case complicated by a pathological fracture. Five of the recurrent cases underwent repeat PAIB procedures, resulting in complete resolution in two patients. Postoperative imaging revealed small residual cysts in three cases. Bone healing was successfully achieved in 32 patients. Graft bone exudation, identified as a potential risk factor for recurrence, was observed in seven patients. All patients exhibited satisfactory functional outcomes throughout the follow-up period.PAIB appears to be a safe, effective, and minimally invasive treatment option for the management of pediatric simple bone cysts.
Keywords: Simple bone cyst, Children, Recurrence, minimally invasive surgery, Fracture
Received: 24 Jul 2025; Accepted: 13 Aug 2025.
Copyright: © 2025 Xu, wei, Zhang and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Wei Li, Department of Orthopedics, Shenzhen Second People's Hospital, Shenzhen, China
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