Successful Treatment of a Musculoskeletal Tumor Society Grade 3 Aneurysmal Bone Cyst with N-Butyl Cyanoacrylate Embolization and Percutaneous Cryoablation

This report presents a 13-year-old girl with an aggressive skeletal lesion involving the posterior elements of the cervicothoracic junction. The lesion was determined to be a Musculoskeletal Tumor Society grade 3 aneurysmal bone cyst based on imaging and pathologic findings. The cyst was treated with endovascular n-butyl cyanoacrylate embolization and percutaneous cryoablation with sensory and motor-evoked potential monitoring. Follow-up imaging at 16 months demonstrated significant reduction in the size of the lesion, with no evidence of recurrence.