Percutaneous radiofrequency ablation of spinal osteoid osteoma under CT guidance

Morassi, L; Kokkinis, K.; Evangelopoulos, Dimitrios Stergios; Karargyris, Orestis; Vlachou, Ioanna; Kalokairinou, K; Pneumaticos, Spiros G.

doi:10.1259/bjrcr.20140003

Cited by 7 publications

(7 citation statements)

References 48 publications

(45 reference statements)

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“…Surgical treatment consists of resection of the entire tumor, preferably in one piece [5], to ensure healing without risk of recurrence. Treatment of spinal OO can also be done by radiofrequency [11,12], but the risk of neurological damage is high, particularly for locations in the posterior column. This should remain a contraindication until further notice [13].…”

Section: Discussionmentioning

confidence: 99%

Structural scoliosis secondary to thoracic osteoid osteoma: a case report of delayed diagnosis

Zaidi

Nessib

2022

Spine Deform

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Purpose The aim of this case report is to show that late diagnosis of vertebral osteoid osteoma gives rise to structural scoliosis which sometimes requires long-term management. Methods We report a case of an osteoid osteoma in the thoracic spine associated with structural scoliosis. We describe a 14-year-old boy who complained chronic nightly left back pain and scoliosis. Spine’s X-ray was reported thoraco-lumber scoliosis without bone lesion. Results MRI as well as technetium-99 m total body bone scan and a computed tomography scan revealed a bony lesion in the upper left joint of T11 vertebra consistent with the diagnosis of OO. Anatomopathological study of the resection piece confirmed the diagnosis of OO. Surgical excision of the tumor resolved pains, but scoliosis needed an orthopedic treatment for 1 year. Conclusion Through this case, it has been demonstrated that late diagnosed vertebral OO can be the cause of structural scoliosis. Clinical and radiological results indicate that OO resection is an effective and safe method of treatment. Levels of evidence IV.

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Section: Discussionmentioning

confidence: 99%

Structural scoliosis secondary to thoracic osteoid osteoma: a case report of delayed diagnosis

Zaidi

Nessib

2022

Spine Deform

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“…Previous research has confirmed the protective nature of cortical bone between the RFA probe and adjacent soft tissues and that there is limited transfer of heat to the vertebral canal . Although thermoprotective measures in the spine have been described, there is no in vivo (or in vitro) evidence that these do in fact serve to provide additional protection for neural structures.…”

Section: Discussionmentioning

confidence: 99%

Radiofrequency ablation of osteoid osteoma: Aiming for excellent outcomes in an Australasian context

et al. 2018

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Introduction To report a series of patients with osteoid osteoma treated by radiofrequency ablation in whom no complications or recurrences occurred. Methods Over a 13‐year period, 32 consecutive patients with osteoid osteoma were treated by radiofrequency ablation in an Australasian teaching centre. Results All patients had resolution of symptoms with no complication or recurrence. Conclusions This series is further evidence for the use of radiofrequency ablation as the primary treatment for osteoid osteoma.

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“…The combination of RFA and PVP for the treatment of malignant tumors of the spine can effectively enhance the strength and hardness of the spine, while causing the death of tumor cells (21,22). Selection of the appropriate RF needle position, radio temperature and procedure duration is significant to prevent complications in the RFA treatment of spinal metastases.…”

Section: Discussionmentioning

confidence: 99%

Image-guided minimally invasive percutaneous treatment of spinal metastasis

Yang

et al. 2017

Experimental and Therapeutic Medicine

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Abstract. In order to provide effective options for minimally invasive treatment of spinal metastases, the present study retrospectively evaluated the efficacy and safety of image-guided minimally invasive percutaneous treatment of spinal metastases. Image-guided percutaneous vertebral body enhancement, radiofrequency ablation (RFA) and tumor debulking combined with other methods to strengthen the vertebrae were applied dependent on the indications. Percutaneous vertebroplasty (PVP) was used when vertebral body destruction was simple. In addition, RFA was used in cases where pure spinal epidural soft tissue mass or accessories (spinous process, vertebral plate and vertebral pedicle) were destroyed, but vertebral integrity and stability existed. Tumor debulking (also known as limited RFA) combined with vertebral augmentation were used in cases presenting destruction of the epidural soft tissue mass and accessories, and pathological vertebral fractures. A comprehensive assessment was performed through a standardized questionnaire and indicators including biomechanical stability of the spine, quality of life, neurological status and tumor progression status were assessed during the 6 weeks-6 months follow-up following surgery. After the most suitable treatment was used, the biomechanical stability of the spine was increased, the pain caused by spinal metastases within 6 weeks was significantly reduced, while the daily activities and quality of life were improved. The mean progression-free survival of tumors was 330±54 days, and no associated complications occurred. Therefore, the use of a combination of image-guided PVP, RFA and other methods is safe and effective for the treatment of spinal metastases.

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Percutaneous radiofrequency ablation of spinal osteoid osteoma under CT guidance

Cited by 7 publications

References 48 publications

Structural scoliosis secondary to thoracic osteoid osteoma: a case report of delayed diagnosis

Structural scoliosis secondary to thoracic osteoid osteoma: a case report of delayed diagnosis

Radiofrequency ablation of osteoid osteoma: Aiming for excellent outcomes in an Australasian context

Image-guided minimally invasive percutaneous treatment of spinal metastasis

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