Spinal Osteoid Osteoma Revealed by Radiculopathy: Case Report and Literature Review

Tekaya, A. Ben; Moalla, Myriam; Salah, Mohamed Ben; Saidane, O.; Tekaya, R.; Hadhri, Khaled; Mahmoud, I.; Adbelmoula, Leila

doi:10.14444/7161

Cited by 4 publications

(3 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Though spinal osteoid osteoma occurs close to neurological structures, deficit rarely occurs due to its small size [14]. Radiculopathy has been reported due to reactive inflammation caused by tumour [15]. In our series, first and second case had no symptoms or signs of nerve irritation.…”

Section: Discussionmentioning

confidence: 47%

Osteoid Osteomas of Spine: From Open to Minimally Invasive Excision of the Nidus – A Case series

Ganesh Kumar,

V.N,

Raju

et al. 2023

ijs

View full text Add to dashboard Cite

Osteoid osteomas of spine are not uncommon and majority of which occurs in posterior elements of lumbar spine. Management of such lesions in spine ranges from open en bloc excision to percutaneous radiofrequency ablation. In this series, we have managed three cases of osteoid osteomas of spine, each managed differently from conventional open technique to minimally invasive method. All three cases underwent appropriate radiological investigations and followed by surgical excision of the lesion and histopathological analysis post-operatively. First case was managed with open excision of the lesion with conventional unilateral pedicle screw stabilisation. Second case, who underwent open excision of the lesion developed recurrence which was managed by re-excision without any further complications. Last case underwent microendoscopic quadrant tubular excision of the tumour with unilateral MISS with pedicle screws. The technique of Microendoscopic quadrant tubular excision of posterior element benign tumour had advantages of small skin incision, less bleeding, clear macroscopic visualisation of the small tumour (enables complete excision of the nidus thus decreasing the recurrence), early mobilisation and shorter hospitalization with effective and complete excision of the tumour better than open method. Further, histological evidence of tumour will be available. The complete excision of nidus using microendoscopic tubular retractors with unilateral fixation in young age gives encouraging results. This case series is followed by review of literature highlighting the role of COX-2 inhibitors in osteoid osteoma, cause for scoliosis and neurological deficit in osteoid osteoma and management of osteoid osteomas of spine. Keywords: Tumor, Osteoid osteoma, Minimally invasive, Dorsolumbar spine, Excision biopsy

show abstract

Section: Discussionmentioning

confidence: 47%

Osteoid Osteomas of Spine: From Open to Minimally Invasive Excision of the Nidus – A Case series

Ganesh Kumar,

V.N,

Raju

et al. 2023

ijs

View full text Add to dashboard Cite

show abstract

“…The common presentation of OO in a spinal location is a painful scoliosis or an isolated spinal night pain alleviated with the use of aspirin or nonsteroidal anti-inflammatory drugs [8] as in our case. Ankylosing Spondylitis is a chronic inflammatory rheumatic disease, the hallmark manifestation of which is inflammatory back pain, with or without peripheral joints involvement, and a close association with HLA B27.…”

Section: Discussionmentioning

confidence: 69%

Are Osteoid Osteoma and Ankylosing Spondylitis in Some Way Linked? A Case Report

Chiheub¹,

Remita

2022

JAMMR

View full text Add to dashboard Cite

We present a 35-year-old male, who initially complained of progressive and persistent inflammatory back pain for 2 years, which was diagnosed as a T12 thoracic spine osteoid osteoma. The patient underwent intralesional resection of the tumor via a posterior approach, with immediate post-operative pain relief, and 2 years of pain-free spine interval. Recently, the patient presented with an inflammatory back pain. Visual Analogic Scale (V.A.S) was 7/10 and stiffness,The Back Pain Functional Scale (BPFS) was 30/60, suggesting a recurrence of the spinal Osteoid Osteoma (OO), diagnosis ruled out giving the negativity of the spine MRI and CT scan. Therefore, an ankylosing spondylitis was suspected, hence, sacroiliac joints MRI was performed, depicting an active bilateral sacroiliitis, confirming the diagnosis of AS according to ASAS criteria. The aim of this paper is to point out similarities between OO and AS and their clinical and probable therapeutic implications. Though few cases of their association have been reported in the literature, both of bone osteoblastic tumors and Ankylosing Spondylitis (AS) share a number of common features, which let us assuming a possible relationship and therefore, the necessity to assess for sacroiliitis in patients with osteoid osteoma. Differential diagnosis should be considered especially in patients with inflammatory back pain. Moreover, a purely pharmacological approach to the management of OO by the use of biological agents may be considered.

show abstract

“…Osteoid osteoma accounts for about 10% of benign bone tumors 1 . Most osteoid osteomas occur between the ages of 20 to 30 years, with a male to female ratio of 2:1‐3:1 2 . About 10% of osteoid osteoma occurs in the spine 3 , mostly involving the posterior elements of the spine 4 .…”

Section: Introductionmentioning

confidence: 99%

Avoiding Misdiagnosis and Missed Diagnosis for Appropriately Treating Spinal Osteoid Osteomas: A Single‐Center Experience

Liu

et al. 2022

Orthopaedic Surgery

View full text Add to dashboard Cite

Objectives To analyze the causes of misdiagnosis and missed diagnosis in spinal osteoid osteoma, and to put forward solutions to improve diagnosis accuracy and treatment efficacy in patients. Methods We performed a retrospective cohort study on patients with spinal osteoid osteoma in Beijing Jishuitan Hospital from January 1983 to September 2019. All patients underwent surgery. The outcome measures were the extent of local pain, nocturnal pain, radicular symptoms of extremities after surgery, and reduction or disappearance of lesions on CT after surgery. Results Thirty‐seven patients with spinal osteoid osteoma were recruited in the study. A total of 27% were female, and the mean (SD) age at diagnosis was 21.3 (8.7) years. A total of 87.0% of patients presented with nocturnal pain, and 94.7% of patients were responsive to NSAIDS treatment. The mean (SD) time from the initial onset of symptoms to the final diagnosis was 14.7 (12.5) months. Only four of 37 (10.8%) patients were correctly diagnosed with spinal osteoid osteoma on the first visit to the local hospital. CT is associated with a higher diagnosis rate than X‐ray or MRI on the first visit. Surgical navigation was used in 88.9% of patients who underwent curettage resection, and in 10% of patients who underwent en bloc resection. A total of 37 of 37 patients (100%) reported relief of local pain and radicular symptoms of extremities after surgery, and no recurrence of tumors was found during follow‐ups. Conclusions Spinal CTs are recommended to be performed if osteoid osteoma is suspected based on clinical manifestation, including nocturnal pain and responsiveness to NSAIDS treatment, to avoid misdiagnosis and missed diagnosis of spinal osteoid osteoma.

show abstract

Spinal Osteoid Osteoma Revealed by Radiculopathy: Case Report and Literature Review

Cited by 4 publications

References 22 publications

Osteoid Osteomas of Spine: From Open to Minimally Invasive Excision of the Nidus – A Case series

Osteoid Osteomas of Spine: From Open to Minimally Invasive Excision of the Nidus – A Case series

Are Osteoid Osteoma and Ankylosing Spondylitis in Some Way Linked? A Case Report

Avoiding Misdiagnosis and Missed Diagnosis for Appropriately Treating Spinal Osteoid Osteomas: A Single‐Center Experience

Contact Info

Product

Resources

About