Spinal osteoid osteoma: efficacy and safety of radiofrequency ablation

Albisinni, Ugo; Facchini, Giancarlo; Spinnato, Paolo; Gasbarrini, A.; Bazzocchi, Alberto

doi:10.1007/s00256-017-2662-1

Cited by 38 publications

(16 citation statements)

References 22 publications

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“…Furthermore, the risk of thermal damage to cartilage needs to be considered. Nevertheless, some patients have recurrences after radiofrequency ablation [ 12 ]. Similar risks exist for cryoablation and laser thermocoagulation.…”

Section: Discussionmentioning

confidence: 99%

A Missed Case of Osteoid Osteoma of the Acetabulum Treated with a Novel Computed Tomography-Guided Technique – A Case Report

Gandhi¹,

Shanmugasundaram

2020

JOCR

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Section: Discussionmentioning

confidence: 99%

A Missed Case of Osteoid Osteoma of the Acetabulum Treated with a Novel Computed Tomography-Guided Technique – A Case Report

Gandhi¹,

Shanmugasundaram

2020

JOCR

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“…Data reported in the literature have demonstrated that in case of symptomatic recurrence after the first RFA treatment, re-ablation is almost always resolutive with complete disappearance of symptoms, as suggested by the revision of the literature proposed [ 10 , 16 – 20 , 23 – 25 , 36 , 39 , 42 44 , 46 , 48 50 28 – 43 , 92 , 44 – 51 , 54 – 56 ] (Table 2 ).…”

Section: Radiofrequency Ablation (Rfa)mentioning

confidence: 92%

Osteoid osteoma: which is the best mininvasive treatment option?

Parmeggiani

Martella

Ceccarelli

et al. 2021

Eur J Orthop Surg Traumatol

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Osteoid osteoma is the third most common benign bone tumor, with well-known clinical presentation and radiological features. Although surgical excision has been the only therapeutic option for a long time, to date it has been replaced by minimally invasive techniques, which proved satisfactory success rates and low complication occurrence. Therefore, the purpose of this literature review was to describe the main updates of these recent procedures in the field of interventional radiology, with particular attention paid to the results of the leading studies relating to the efficacy, complications, and recurrence rate. Nevertheless, this study aimed to analyze the peculiarities of each reported technique, with specific focus on the possible improvements and pitfalls. Results proved that all mininvasive procedures boast a high success rate with slight number of complications and a low recurrence rate. Radiofrequency ablation is still considered the gold standard procedure for percutaneous treatment of osteoid osteoma, and it has the possibility to combine treatment with a biopsy. Interstitial laser ablation’s advantages are the simplicity of use and a lower cost of the electrodes, while cryoablation allows real-time visualization of the ablated zone, increasing the treatment safety. Magnetic resonance-guided focused ultrasound surgery is the most innovative non-invasive procedure, with the unquestionable advantage to be radiation free.

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“…Majority occurred in the lumbar spine which occurred in 59%, in spine frequently located in lamina, pedicles, or the transverse and spinous process [2]. Osteoid osteoma mostly occurred in 5-25 years old and the dominance in male population with a ratio 3:1 to female [3].…”

Section: Introductionmentioning

confidence: 99%

“…Imaging with CT scan may reveal a focal dense lesion with sclerotic reactive bone, and calci cation may appeared. On MRI it may not be as speci c as CT, in which hyperemia and bone marrow edema may discourage the tumoral diagnosis 3 . On Histopathology, macroscopically may be appeared as nidus in distinct round or oval reddish area, and nidus may be soft and granular or may be hard and sclerotic.…”

Section: Introductionmentioning

confidence: 99%

Osteoid Osteoma Intracanalis of the Cervical Spine : a rare case

Ibrahim

Tandean

Irsyad

et al. 2021

Preprint

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BackgroundOsteoid osteoma is benign, accounted for 10–40% of spine tumours, Majority occurred in the lumbar spine which occurred in 59%, in spine frequently located in lamina, pedicles, or the transverse and spinous process. Pain is the most common symptoms, classically almost present at night and may awaken the patients. Imaging with CT scan may reveal a focal dense lesion with sclerotic reactive bone, and calcification may appeared. On MRI it may not be as specific as CT. CT guided radiofrequency ablation was safe and effective in spinal osteoid osteoma, but with proximity to neurological structures may not indicated in this group of patientsCase PresentationFemale 61 years old, came to our emergency department with chief complaint of weakness of lower extremities. This has occurred for 5 years and worsening every year. History of neck pain was found. Patient also complained about numbness in both hand and foot for the last 5 years. On physical examination, hyporeflex was found in lower extremities, with motoric of 2 and motoric of 4 in the hand. Sensation was normal in patient. Laminectomy was done on C7/T1, after laminectomy, the flavum ligament was still present, after resecting the ligament, the compact bone in vertebral canal compressing the spinal cord contralaterally, resulting thinning of spinal cord. Using high speed drill, the bone was drilled slowly until reaching the posterior corpus vertebrae.DiscussionOsteoid osteoma comprised of 10–12% total spinal tumour with cell origin of osteoblast and occurred in 1st and 2nd decade of life, occurred mostly in lumbar and predominant in female. Osteoid osteoma comprised of 10–12% total spinal tumour with cell origin of osteoblast and occurred in 1st and 2nd decade of life and occurance is mostly present in lumbar, cervical and dominantly arising from posterior elements. Surgery is the preferred in patients with no recurrency and low remission of symptoms.ConclusionOsteoid osteoma is a benign case of spinal tumour and occurance is also low in all spinal tumor. Radiculopathy is the most common symptoms nonetheless neurological deficit is rarely present. Patients may respond well after surgery with no complication found.

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Spinal osteoid osteoma: efficacy and safety of radiofrequency ablation

Abstract: CT-guided RFA is an excellent treatment for spinal OO. Our data suggest that this procedure should be considered for the first stage of therapy for this disease.

Cited by 38 publications

References 22 publications

A Missed Case of Osteoid Osteoma of the Acetabulum Treated with a Novel Computed Tomography-Guided Technique – A Case Report

A Missed Case of Osteoid Osteoma of the Acetabulum Treated with a Novel Computed Tomography-Guided Technique – A Case Report

Osteoid osteoma: which is the best mininvasive treatment option?

Osteoid Osteoma Intracanalis of the Cervical Spine : a rare case

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