Radiofrequency Ablation of Osteoid Osteomas: Analgesia and Patient Satisfaction in Long-term Follow-up

Gebauer, Bernhard; Collettini, Federico; Bruger, Cornelia; Schaser, K.-D.; Melcher, I.; Tunn, Per‐Ulf; Streitparth, Florian

doi:10.1055/s-0033-1350347

Cited by 25 publications

(35 citation statements)

References 8 publications

(11 reference statements)

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“…In addition, RFA proves to be a better tool in treating symptomatic recurrences after surgical resections (100% vs 90%). 30 Several authors have published articles [29][30][31][32][33][34][35][36][37][38] reporting a significant therapeutic success, confirming the effectiveness of RFA also in the long-term and on large series, showing that RFA is a safe method for treating OO with a low number of complications. Flanagin and Lindskog, 39 in their study, referred an efficacy of this technique equals 92.8%, in agreement with the previous data reported in literature.…”

Section: Osteoid Osteomamentioning

confidence: 80%

Paediatric musculoskeletal interventional radiology

Natali¹,

Paolantonio²,

Fruhwirth³

et al. 2016

BJR

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Interventional radiology technique is now well established and widely used in the adult population. Through minimally invasive procedures, it increasingly replaces surgical interventions that involve higher percentages of invasiveness and, consequently, of morbidity and mortality. For these advantageous reasons, interventional radiology in recent years has spread to the paediatric age as well. The aim of this study was to review the literature on the development, use and perspectives of these procedures in the paediatric musculoskeletal field. Several topics are covered: osteomuscle neoplastic malignant and benign pathologies treated with invasive diagnostic and/or therapeutic procedures such as radiofrequency ablation in the osteoid osteoma; invasive and non-invasive procedures in vascular malformations; treatment of aneurysmal bone cysts; and role of interventional radiology in paediatric inflammatory and rheumatic inflammations. The positive results that have been generated with interventional radiology procedures in the paediatric field highly encourage both the development of new ad hoc materials, obviously adapted to young patients, as well as the improvement of such techniques, in consideration of the fact that childrens' pathologies do not always correspond to those of adults. In conclusion, as these interventional procedures have proven to be less invasive, with lower morbidity and mortality rates as well, they are becoming a viable and valid alternative to surgery in the paediatric population. MUSCULOSKELETAL MALIGNANT TUMOURSOsteosarcoma, Ewing sarcoma and rhabdomyosarcoma are the most common musculoskeletal tumours of childhood and adolescence.

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Section: Osteoid Osteomamentioning

confidence: 80%

Paediatric musculoskeletal interventional radiology

Natali¹,

Paolantonio²,

Fruhwirth³

et al. 2016

BJR

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“…RFA is currently considered as the treatment of choice 16 . It is both safe and effi cient therapy, with a high average initial success rate of 92%, low recurrence (0-35%) and complication rates (3%) 17 . Th e most common complications are thermal damage to sensitive neurovascular structures localized in the probe vicinity and skin burns, and therefore, this method was not a suitable treatment option for our patient 16 .…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

“…A great number of methods have been described in the treatment of OO including a wide spectrum ranging from seldom-used conservative approach with NSAIDs over minimally invasive percutaneous treatments (mechanical, chemical or thermal ablation) to open surgical methods (en bloc resections and curettage techniques) [9][10][11][12][13][14][15][16][17][18][19][20][21] . Th erapeutic approach merely depends on numerous factors, among which anatomical localization is one of the most important factors in decision-making.…”

Section: Introductionmentioning

confidence: 99%

Osteoid Osteoma of the Coracoid Process: Case Report With Literature Review

Božić

Josipović

Bohaček

et al. 2016

acc

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SUMMARY -Osteoid osteoma (OO) is the most common benign osteogenic bone tumor that predominantly aff ects young adults. OO is commonly localized in long bones, and therefore, it is rarely considered in diff erential diagnosis of chronic shoulder pain. We report a case of a 22-year-old male athlete, without history of previous trauma, who presented to our Department with chronic shoulder pain, which escalated during the night and responded to nonsteroidal anti-infl ammatory drug treatment. Considering these typical symptoms, diagnostic pathway was immediately directed towards OO, with magnetic resonance and computed tomography confi rming the diagnosis of OO of the coracoid process (CP). Since neurovascular structures are in the proximity of CP, and this very delicate area does not support radiofrequency ablation, we decided to perform an open procedure with drilling of the lesion and excochleation. Th e pain withdrew immediately after the procedure, and on six-month follow up the patient remained pain free. In the treatment of OO of the CP, we recommend open surgical procedure with tumor ablation by drilling instead of CP resection, presenting a safe, simple and low-cost method that simultaneously completely destroys the lesion and preserves the anatomical and functional role of CP.

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“…The intention was to treat every patient with a target temperature of 90°C for 6-8 min, depending on the size and location of the OO. For example, if the lesion was adherent to sensitive structures like spinal nerve roots or close to the skin, the target temperature was reduced ("low-energy ablation", e.g., 80°C for 8 min) [14] (Fig. 2).…”

Section: Methodsmentioning

confidence: 99%