Osteoid osteoma of the dens axis

Neumann, Daniel; Dorn, U.

doi:10.1007/s00586-007-0332-z

Cited by 15 publications

(15 citation statements)

References 22 publications

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“…Although most patients with adolescent scoliosis have little or no pain, osteoid osteomas are the most common cause in 2/3 of patients with painful scoliosis [17]. Patients with a spinal osteoid osteoma usually are treated successfully nonoperatively [8], and spontaneous healing of an osteoid osteoma may still occur within 3 to 4 years [24,31]. Surgery generally is recommended for patients who do not respond to treatment with antiinflammatory drugs or when the tumor results in neural compression with deficits [8,24,33,45].…”

Section: Introductionmentioning

confidence: 99%

Case Report: Curetting Osteoid Osteoma of the Spine Using Combined Video-assisted Thoracoscopic Surgery and Navigation

Campos

Gasbarrini

Boriani

2013

Clinical Orthopaedics &Amp; Related Research

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Background A spinal osteoid osteoma is a rare benign tumor. The usual treatment involves complete curettage including the nidus. In the thoracic spine, conventional open surgical treatment usually carries relatively high surgical risks because of the close anatomic relationship to the spinal cord, nerve roots, and thoracic vessels, and pulmonary complications and postoperative pain. Case Report We report the case of a 16-year-old girl with a symptomatic osteoid osteoma at the T9 level whose lesion was currettaged using video-assisted thoracoscopic surgery (VATS) guided by a navigation system (VATS-NAV). There were no complications and the patient had immediate relief of the characteristic pain after surgery and was asymptomatic at 5 months' followup. Literature Review Progressive advances in the technology of spinal surgery have evolved to offer greater safety and less morbidity for patients. The advent of minimally invasive surgery has expanded the indications for VATS for anterior spinal disorders. Spinal navigation systems have become useful tools allowing localization and excision of the nidus of osteoid osteomas with minimal bone resection and without radiation exposure. Clinical Relevance The VATS-NAV combination in our patient allowed accurate localization and guidance for complete excision of a spinal osteoid osteoma through a minimally invasive approach without compromising spinal stability.

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Section: Introductionmentioning

confidence: 99%

Case Report: Curetting Osteoid Osteoma of the Spine Using Combined Video-assisted Thoracoscopic Surgery and Navigation

Campos

Gasbarrini

Boriani

2013

Clinical Orthopaedics &Amp; Related Research

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“…Patients with an osteoid osteoma can be treated successfully nonoperatively, and spontaneous healing of an osteoid osteoma may occur after 3 to 4 years of medical management with NSAIDs [5,10,22]. Neumann and Dorn [22] reported the efficacy of celecoxib for treating an osteoid osteoma.…”

Section: Discussionmentioning

confidence: 99%

“…Neumann and Dorn [22] reported the efficacy of celecoxib for treating an osteoid osteoma. A patient with an osteoid osteoma of the odontoid process of C2 was given 200 mg celecoxib orally once daily for 2 years and became free of symptoms, with disappearance of the sclerosed nidus on CT [22].…”

Section: Discussionmentioning

confidence: 99%

“…An osteoid osteoma in the spine shows a 70% to 100% propensity for posterior element involvement [6,8,16]. Excluding the posterior elements, cervical spinal osteoid osteomas have been reported in the dens axis [22], the lateral mass of C1 [4] or C5 [7], the vertebral body of C2 [4,20] or C3 [28], the transverse process of C2 [2] or C4 [21], and the pedicle of C3 [29], C5 [25,29], or C6 [18]. To our knowledge, however, there has not been any report of an osteoid osteoma in the pedicle of C2.…”

Section: Introductionmentioning

confidence: 99%

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Case Report: Osteoid Osteoma of the C2 Pedicle

Nagashima

Nishi

Yamane

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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An osteoid osteoma of the cervical spinal pedicle is rare and carries a high surgical risk because of the close anatomic relationship to the spinal cord, nerve root, and vertebral artery. We report the case of a 12-year-old girl with an osteoid osteoma of the C2 pedicle. Computed tomograms showed an oval nidus and marked sclerosis around this lesion at the right C2 pedicle. There also was expansion of the medial and inferior cortical bone of the C2 pedicle. After failure of nonoperative treatment, we planned surgery. Owing to concerns regarding thermal damage to the spinal cord, nerve root, and/or vertebral artery using computed tomography (CT)-guided radiofrequency ablation, we curetted the nidus using a navigation system. Twenty-eight months after surgery, her pain was relieved with no limitation of cervical movement and there has been no evidence of recurrence. Navigation allowed safe curettage of the nidus through a small hole while maintaining spinal stability.

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“…Spontaneous healing or healing after long-term administration of medication has been reported. [28][29][30] However, some patients cannot tolerate long-term medication regimens owing to the side effects of salicylates and NSAIDs. In the past, complete surgical excision of the nidus had been the treatment of choice.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous radiofrequency ablation of spinal osteoid osteoma under CT guidance

Morassi

Kokkinis²,

Evangelopoulos³

et al. 2014

BJR

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Objective: Osteoid osteoma (OO) accounts for approximately 10-12% of all benign bone tumours and 3% of all bone tumours. Spinal involvement appears in 10-25% of all cases. The purpose of this study was to evaluate the safety and efficacy of CT-guided radiofrequency (RF) ablation in the treatment of spinal OOs and report our experience. Methods: 13 patients suffering from spinal OO and treated at the authors' institution using CT-guided RF ablation were retrospectively evaluated. The RF probe was introduced through a 11-G Jamshidi® needle, and the lesion was heated at 90°C for 6 min.

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Osteoid osteoma of the dens axis

Cited by 15 publications

References 22 publications

Case Report: Curetting Osteoid Osteoma of the Spine Using Combined Video-assisted Thoracoscopic Surgery and Navigation

Case Report: Curetting Osteoid Osteoma of the Spine Using Combined Video-assisted Thoracoscopic Surgery and Navigation

Case Report: Osteoid Osteoma of the C2 Pedicle

Percutaneous radiofrequency ablation of spinal osteoid osteoma under CT guidance

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