Comparison of Radiofrequency Ablation and Curettage in Osteoid Osteoma in Children

Abstract

Objective: Osteoid osteoma, which is observed in the adolescent and young adult population as benign bone tumors, appears as a single nidus with a diameter < 2 cm and is treated with open surgery. However, technological advances in medicine have made it possible to apply less invasive procedures in surgery. Methods: Between 2006–2014, 24 patients < 18 years of age were treated for osteoid osteoma. Patient demographic data, surgical data, complications, and recurrences were noted. Results: Twenty-four patients (mean age, 11 [2–18] years) were treated and followed up for a mean 3.58 (range, 1–9) years. Mean patient age in the curettage group was 12.1 (range, 3–18) years. Mean operation length was 69.5 (range, 60–120) minutes. Mean hospital stay was 1.3 (range, 0–2) days. Mean patient age in the radiofrequency ablation (RFA) group was 10.7 (range, 2–17) years. Five patients were female and 8 were male. Mean operation length was 49.6 (range, 20–90) minutes. Mean hospital stay was 0.3 (range, 0–1) days. Mean follow-up time was 1.76 (range, 1–4) years. Mean operation length, hospital stay, and follow-up were significantly shorter in the RFA group. Conclusions: Considering reduced costs due to shorter hospitalization periods and the ability to reach anatomically difficult locations, percutaneous procedures are likely to replace the conventional open approach. Level of evidence: II, retrospective study.

Rradiofrequency ablation versus open surgical method (curettage) for the treatment of osteoid osteoma (clinical outcome)

“…reported 15.3% recurrence rate for RFA study conducted in Turkey 2019 [25]. Failure was attributed to inadequate ablation this required additional intervention with surgical curettage.…”

Mid-Term Results of Computed Tomography-Guided Percutaneous Radiofrequency Ablation Therapy in the Treatment of Osteoid Osteoma

“…Nidus çapı ile ağrı Perkütan tedavi yöntemlerinin konvasiyonel cerrahi yöntemlere göre minimal invaziv olması en büyük avantajlarındandır. Bu sayede perkütan RFA ile daha az komplikasyon ve daha az hastanede kalış süreleri elde edilebilir (11). Cerrahi tedavi sonrası majör komplikasyon %4.5 leri bulabilmekte iken perkütan RFA sonrası majör komplikasyon oranlarının neredeyse sıfıra yakın olduğu bildirilmiştir (12,13).…”

“…RFA'nın muhtemel diğer komplikasyonları arasında kanama, enfeksiyon, patolojik kırık, apse formasyonları ve kas içi hematom sayılabilir (34,35). Bunların yanında RFA ile yapılan birçok çalışmada bizim çalışmamızda olduğu gibi komplikasyon izlenmediği raporlanmıştır (11,36,37).…”

Osteoid osteoma: which is the best mininvasive treatment option?

“…Furthermore, in comparison to surgery, RFA allows to reach difficult anatomical sites and provides shorter operation and hospitalization periods, with consequent costs reduction [ 12 ]. Specifically, Göksel et al [ 13 ] carried out a comparative study on 24 patients with OO, 11 of which (45.83%) underwent surgical curettage, while 13 (54.17%) received RFA. Mean operation length of the surgery group was 69.5 min, with mean hospital stay of 1.3 days, while they were significantly shorter in the RFA group with mean operation length of 49.6 min and mean hospital stay of 0.3 days.…”