Osteoid-osteoma and osteoblastoma of the spine.

Pettine, Kenneth A.; Klassen, Rudolph A.

doi:10.2106/00004623-198668030-00007

Cited by 178 publications

(111 citation statements)

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“…Surgical resection is recognized as the most effective treatment for OBL in the spine [6][7][8]. Although few researchers believed that subtotal excision (curettage) or resection without a wide margin was sufficient for spinal OBL because of its benign nature and limited growth, the vast majority of experts held the view that radical surgical resection was the best possible treatment [2,4,6,8,17,[24][25][26][27][28].…”

Section: Discussionmentioning

confidence: 99%

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Clinical characteristics and treatment options for two types of osteoblastoma in the mobile spine: a retrospective study of 32 cases and outcomes

Yin

Wang

et al. 2013

Eur Spine J

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Purpose A retrospective study of 32 patients with osteoblastoma (OBL) in the mobile spine was performed to analyze the clinical characteristics of two types of spinal OBL. We also aimed to find influential factors for OBL in the mobile spine. Methods Between 2002 and 2011, 32 patients with either conventional osteoblastoma (CO) or aggressive osteoblastoma (AO) in the mobile spine were treated in our center. All patients were treated with either total excision or subtotal excision ? postoperative radiotherapy. The mean follow-up was 45.8 (18-128) months. Clinical data and surgery efficacy were analyzed to search for clinical characteristics of two subtypes of spinal OBL and discuss the possible factors influencing relapse. Results There is significant difference between CO and AO in tumor size (p \ 0.0005), preoperative alkaline phosphatase (ALP, p \ 0.0005) and intraoperative blood loss (p = 0.013). Multivariate logistic regression was used to find the influential factors for relapse and the results were: preoperative ALP, b = 0.023, p = 0.029; surgery protocol, b = -7.597, p = 0.007; tumor size, C3/\3, b = 24.805, p \ 0.0005; age, b = 0.054, p = 0.632; and pathology type, b = 1.998, p = 0.34. Conclusions Tumor size, preoperative ALP and CT images were helpful for distinguishing AO from CO. The difference in intraoperative blood loss between CO and AO is mainly attributed to the size of the lesion. Preoperative ALP, surgery protocol and tumor size (C3/\3) were considered to significantly influence relapse of spinal OBL.

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Section: Discussionmentioning

confidence: 99%

“…Surgical resection is generally recognized as the first choice of treatment for spinal OBL, while the efficacy of radiotherapy is still in dispute [6][7][8]. Relapse is not uncommon after surgery and incomplete excision of the tumor is regarded as the main reason.…”

Section: Introductionmentioning

confidence: 99%

Clinical characteristics and treatment options for two types of osteoblastoma in the mobile spine: a retrospective study of 32 cases and outcomes

Yin

Wang

et al. 2013

Eur Spine J

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“…The proximal femur is most commonly affected (approximately two-thirds of the cases), and other common sites include the diaphysis of the tibia and the humerus (6)(7)(8)(9). The spine is also frequently involved especially the posterior elements (10,11). Other areas that may be affected include the hand, and the foot bones (12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

Femur shaft fracture following osteoid osteoma radiofrequency ablation

Mazzawi

Militianu

Eidelman

et al. 2017

ccmbm

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SummaryIntroduction. Radiofrequency ablation is an effective modality in treating osteoid osteoma while avoiding the complications of an open procedure. Its complications are usually self-limited consisting mostly of local skin burns. This report presents a major complication, a femur shaft fracture following an osteoid osteoma radiofrequency ablation. The fracture occurred approximately one year after the ablation at the site of the osteoid osteoma. Discussion. Few case reports have been published regarding subtrochanteric femur fracture after ablation of an osteoid osteoma. To our knowledge this is the first report of a femoral shaft fracture following an ablation. Another unique characteristic of the presented case is the late presentation, approximately one year following ablation. Factors which may have contributed to the fracture include lateral entry point of the drill which may have weakened the femur when taking its biological and mechanical properties into account, and the fact that the patient was a soldier who was allowed to continue his military training only six weeks after the ablation. Conclusion. Radiofrequency ablation is an effective and relatively safe technique in treating osteoid osteomas, however the physician should be aware of the fracture risk involved, consider mechanical and biologic factors of the bone prior to drilling, and be very conservative when recommending return to high level activity. In addition, a close follow-up should be carried on after the procedure in order to supervise bone remodeling.

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“…The osteoid osteoma is found in vertebral body in only 10% of the cases affecting the spine (12) . Spinal involvement is more common at lumbar vertebrae (12,13) and is characterized by localized pain at affected vertebra (14,15) and occasionally by irradiated pain, simulating a disc herniation (10,16) , but with no other findings at physical and neurological examination (17) . Pain usually gets worse at night, and generally improves with the use of non-steroidal anti-inflammatory drugs (18) .…”

Section: Introductionmentioning

confidence: 99%

Tratamento de osteoma osteóide de corpo vertebral da coluna lombar por ablação por radiofreqüência

Filho¹,

Oliveira²,

Cristante³

et al. 2006

Acta ortop. bras.

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SUMMARYIn this article, we will describe a rare case of an osteoid osteoma of the fourth lumbar vertebra's vertebral body with unusual epidemiology (42 years old), diagnosed through clinical history, physical examination, scintiscan, tomography, and magnetic resonance. Diagnosis was confirmed by tomography-guided biopsy and minimally invasive therapy successfully provided through tomographyguided radiofrequency ablation.

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Osteoid-osteoma and osteoblastoma of the spine.

Cited by 178 publications

References 0 publications

Clinical characteristics and treatment options for two types of osteoblastoma in the mobile spine: a retrospective study of 32 cases and outcomes

Clinical characteristics and treatment options for two types of osteoblastoma in the mobile spine: a retrospective study of 32 cases and outcomes

Femur shaft fracture following osteoid osteoma radiofrequency ablation

Tratamento de osteoma osteóide de corpo vertebral da coluna lombar por ablação por radiofreqüência

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