ABSTRACT
Percutaneous treatment of cystic bone lesions is most commonly performed for unicameral bone cysts and aneurysmal bone cyst (ABCs). The use of percutaneous techniques for the treatment of vertebral bone cysts is a therapy that has received recent review. The advantages of percutaneous techniques include avoidance of the risk of open surgical incisions and the need for large reconstructions. The indications and contraindications to percutaneous treatment of vertebral ABCs are not absolute. One must assess the risk and benefits of various forms of treatment for the cyst and the options must be weighed with most consideration given to the location of the lesion, spinal stability, and need for spinal mobility. The reports utilizing histoacryl note excellent response to the treatment occurred without major complications. In a review of the literature, no complications have been associated with the use of methylprednisolone or calcitonin injections, except for failure of the treatment to eliminate symptoms.
