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Symptomatic resolution of spinal osteoid osteoma with conservative management: imaging correlation

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Abstract

A 10-year-old girl presented with a history of painful scoliosis. Imaging performed, including computed tomography (CT) and magnetic resonance imaging (MRI), demonstrated a lesion with radiological features consistent with an osteoid osteoma (OO) of the 6th thoracic vertebra. The patient was treated conservatively with non-steroidal anti-inflammatory drugs (NSAIDs). Over eight months of clinical and radiological surveillance, she became entirely asymptomatic and demonstrated complete resolution of the scoliotic curve. The CT and MRI features of the osteoid osteoma during the period of surveillance are presented and are correlated with the corresponding clinical features.

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References

  1. Zileli M, Cagli S, Basdemir G, Ersahin Y. Osteoid osteomas and osteoblastomas of the spine. Neurosurg Focus 2003;15 5:E5.

    Google Scholar 

  2. Aydinli U, Ozturk C, Ersozlu S, Filiz G. Results of surgical treatment of osteoid osteoma of the spine. Acta Orthop Belg 2003;69 4:350–4.

    PubMed  Google Scholar 

  3. Witt J. Management of osteoid osteoma. Hosp Med 2002;63 4:207–9.

    Article  Google Scholar 

  4. Kneisl JS, Simon MA. Medical management compared with operative treatment for osteoid osteoma. J Bone Joint Surg Am 1992;74:179–85.

    Article  CAS  Google Scholar 

  5. Coulier B, Mailleux P, Munting E. Spontaneous remission of an osteoid osteoma of the axis. JBR-BTR 2005;88:43.

    CAS  PubMed  Google Scholar 

  6. Kransdorf MJ, Stull MA, Gilkey FW, Moser RP Jr. Osteoid osteoma. Radiographics 1991;11 4:671–96.

    Article  CAS  Google Scholar 

  7. Greenspan A. Benign bone-forming lesions: Osteoma, osteoid osteoma and osteoblastoma. Clinical, imaging, pathologic, and differential considerations. Skeletal Radiol 1993;22 7:485–500.

    Article  CAS  Google Scholar 

  8. Kayser M, Muhr G. Eighteen-year anamnesis of osteoid osteoma—a diagnostic problem? Arch Orthop Trauma Surg 1988;107 1:27–30.

    Article  CAS  Google Scholar 

  9. Rosenthal DI, Hornicek FJ, Torriani M, Gebhardt MC, Mankin HJ. Osteoid osteoma: percutaneous treatment with radiofrequency energy. Radiology 2003;229 1:171–5.

    Article  Google Scholar 

  10. Ilyas I, Younge DA. Medical management of osteoid osteoma. Can J Surg 2002;45 6:435–7.

    PubMed  PubMed Central  Google Scholar 

  11. Greco F, Tamburelli F, Ciabattoni G. Prostaglandins in osteoid osteoma. Int Orthop 1991;15 1:35–7.

    Article  CAS  Google Scholar 

  12. Kawaguchi Y, Hasegawa T, Oka S, Sato C, Arima N, Norimatsu H. Mechanism of intramedullary high intensity area on T2-weighted magnetic resonance imaging in osteoid osteoma: a possible role of COX-2 expression. Pathol Int 2001;51:933–7.

    Article  CAS  Google Scholar 

  13. Saifuddin A, White J, Sherazi Z, Shaikh MI, Natali C, Ransford AO. Osteoid osteoma and osteoblastoma of the spine. Factors associated with the presence of scoliosis. Spine 1998;23 1:47–53.

    Article  CAS  Google Scholar 

  14. Golding JS. The natural history of osteoid osteoma; with a report of twenty cases. J Bone Joint Surg Br 1954;36-B 2:218–29.

    Article  CAS  Google Scholar 

  15. Gangi A, Basille A, Buy X, Alizadeh H, Sauer B, Bierry G. Radiofrequency and laser ablation of spinal lesions. Semin Ultrasound CT MR 2005;26 2:89–97.

    Article  CAS  Google Scholar 

  16. Simm RJ. The natural history of osteoid osteoma. Aust N Z J Surg 1975;45 4:412–5 Nov.

    Article  CAS  Google Scholar 

  17. Munk PL, Huk ME. Medical management of osteoid osteoma. Can J Surg 2003;46 1:60–1.

    PubMed  PubMed Central  Google Scholar 

  18. Harish S, Saifuddin A. Imaging features of spinal osteoid osteoma with emphasis on MRI findings. Eur Radiol 2005;15 12:2396–403 Dec Epub 2005 Jun 23.

    Article  Google Scholar 

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Correspondence to Prakash Jayakumar.

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Jayakumar, P., Harish, S., Nnadi, C. et al. Symptomatic resolution of spinal osteoid osteoma with conservative management: imaging correlation. Skeletal Radiol 36 (Suppl 1), 72–76 (2007). https://doi.org/10.1007/s00256-006-0198-x

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  • DOI: https://doi.org/10.1007/s00256-006-0198-x

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