» Unicameral bone cysts (UBCs) can increase the risk of pathologic fractures of both long and short bones. Although multiple treatments exist, data are conflicting regarding optimal management.
» We sought to analyze treatment strategies for UBCs and their rates of successful treatment.
» Success rates were analyzed according to treatment modality, with emphasis on filling techniques and/or decompression associated with curettage, and injection compounds.
» Curettage with bone substitute and cyst decompression was identified as a highly successful technique for UBC treatment.
» Decompressing the cyst wall after injection, regardless of the specific compound used, had a greater potential to enhance healing rates.
» The management decision should be individually guided within the patient's context.
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