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Pediatric Radiology

, Volume 36, Issue 2, pp 115–118 | Cite as

Percutaneous treatment of osteoid osteoma by CT-guided drilling resection in pediatric patients

  • Sergio SierreEmail author
  • Sergio Innocenti
  • Jose Lipsich
  • Lucas Lanfranchi
  • Horacio Questa
  • Silvia Moguillansky
Original Article

Abstract

Background: Osteoid osteoma is a painful, benign, small osteogenic bone tumor. For a long time, surgery was the only treatment for these lesions. Different minimally invasive therapeutic techniques have been proposed. We report our experience in the treatment of osteoid osteoma by CT-guided drilling resection in pediatric patients. Objective: To evaluate the efficacy of CT-guided percutaneous drilling resection as a minimally invasive therapy for osteoid osteoma in children. Materials and methods: Over a 5-year period, 18 patients (age range 6–17 years, mean age 11.6 years) with osteoid osteomas (femur, n=10; tibia, n=5; humerus, n=2; vertebral body, n=1) were treated with this technique. All procedures were performed under general anesthesia. Results: All procedures were technically successful. Clinical success was achieved in 94.5% of patients (17/18). Only one patient had recurrence of symptoms 8 months after percutaneous resection and was surgically retreated. There were no complications. Conclusion: CT-guided percutaneous drilling resection is a safe, simple and effective minimally invasive technique for the treatment of osteoid osteoma in pediatric patients.

Keywords

Osteoma Bone neoplasms therapy CT Interventional procedures 

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Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • Sergio Sierre
    • 1
    Email author
  • Sergio Innocenti
    • 2
  • Jose Lipsich
    • 1
  • Lucas Lanfranchi
    • 2
  • Horacio Questa
    • 1
  • Silvia Moguillansky
    • 1
  1. 1.Department of Interventional RadiologyHospital Nacional de Pediatria Prof. Dr. J. P. GarrahanBuenos AiresArgentina
  2. 2.Department of OrthopedicsHospital Nacional de Pediatria Prof. Dr. J. P. GarrahanBuenos AiresArgentina

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