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Percutaneous computed tomography-guided resection of non-spinal osteoid osteomas in 54 patients and review of the literature

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Background

Osteoid osteoma is a benign osteoblastic tumor with a nidus of <20 mm in maximum diameter. There are several treatment options, all of them aiming either to resect or to eliminate the nidus.

Purpose

To report and to describe the benefits of treating non-spinal osteoid osteoma by percutaneous computed tomography-guided resection, according to our experience.

Study design

Retrospective case series

Methods

Between 1992 and 2008, 54 patients with non-spinal osteoid osteoma underwent primary treatment with percutaneous CT-guided resection. In all cases, the materials obtained were processed for pathology and microbiology.

Results

Fifty-four patients with a mean age of 22.7 years (range 10–47), of whom 46 were males (85.2 %) and 8 were females (14.8 %). The lesion size ranged between 5 and 15 mm with an average size of 6.9 mm. The resection was considered complete by the CT study in all 54 cases. Of all the specimens sent to pathology, the histological diagnosis was achieved in 41 (75.9 %). Cure was obtained in 50 patients (92.6 %) and the other four patients required a second surgery using the same technique, after which all of them achieved clinical and radiological improvement (100 %).

Conclusion

Percutaneous computed tomography-guided resection of non-spinal osteoid osteomas provides good results, similar to other surgical techniques, with the advantages of being a simple, mini invasive, safe and economic procedure without the need for specific materials. Level of evidence, IV.

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References

  1. Papathanassiou ZG, Petsas T, Papachristou D, Megas P (2011) Radiofrequency ablation of osteoid osteomas: 5 years’ experience. Acta Orthop Belg 77(6):827–833

    PubMed  Google Scholar 

  2. Jaffe HL (1953) Osteoid- osteoma. Proc R Soc Med. 46(12):1007–1012

    PubMed  CAS  Google Scholar 

  3. Marić D, Djan I, Petković L, Vidosavljević M, Sopta J, Marić D (2011) Osteoid osteoma: fluoroscopic guided percutaneous excision technique—our experience. J Pediatr Orthop B 20(1):46–49

    Article  PubMed  Google Scholar 

  4. Sierre S, Innocenti S, Lipsich J, Lanfranchi L, Questa H, Moguillansky S (2006) Percutaneous treatment of osteoid osteoma by CT-guided drilling resection in pediatric patients. Pediatr Radiol 36(2):115–118

    Article  PubMed  Google Scholar 

  5. Sans N, Galy-Fourcade D, Assoun J, Jarlaud T, Chiavassa H, Bonnevialle P, Railhac N, Giron J, Morera-Maupomé H, Railhac JJ (1999) Osteoid osteoma: CT-guided percutaneous resection and follow-up in 38 patients. Radiology 212(3):687–692

    PubMed  CAS  Google Scholar 

  6. Rimondi E, Mavrogenis AF, Rossi G, Ciminari R, Malaguti C, Tranfaglia C, Vanel D, Ruggieri P (2012) Radiofrequency ablation for non-pinal osteoid osteomas in 557 patients. Eur Radiol 22(1):181–188

    Article  PubMed  Google Scholar 

  7. Fenichel I, Garniack A, Morag B, Palti R, Salai M (2006) Percutaneous CT-guided curettage of osteoid osteoma with histological confirmation: a retrospective study and review of the literature. Int Orthop 30(2):139–142

    Article  PubMed  Google Scholar 

  8. Bühler M, Binkert C, Exner GU (2001) Osteoid osteoma: technique of computed tomography-controlled percutaneous resection using standard equipment available in most orthopaedic operating rooms. Arch Orthop Trauma Surg 121(8):458–461

    Article  PubMed  Google Scholar 

  9. Katz K, Kornreich L, David R, Horev G, Soudry M (2000) Osteoid osteoma: resection with CT guidance. Isr Med Assoc J 2(2):151–153

    PubMed  CAS  Google Scholar 

  10. Parlier-Cuau C, Champsaur P, Nizard R, Hamze B, Laredo JD (1998) Percutaneous removal of osteoid osteoma. Radiol Clin North Am 36(3):559–566

    Article  PubMed  CAS  Google Scholar 

  11. Towbin R, Kaye R, Meza MP, Pollock AN, Yaw K, Moreland M (1995) Osteoid osteoma: percutaneous excision using a CT-guided coaxial technique. AJR Am J Roentgenol 164(4):945–949

    Article  PubMed  CAS  Google Scholar 

  12. Xu JQ, Zhang WB, Shen CW, Ding XY, Lu Y (2005) CT-guided percutaneous removal of osteoid osteoma. Zhonghua Wai Ke Za Zhi 43(16):1063–1065

    PubMed  Google Scholar 

  13. Hoffmann RT, Jakobs TF, Kubisch CH, Trumm CG, Weber C, Duerr HR, Helmberger TK, Reiser MF (2010) Radiofrequency ablation in the treatment of osteoid osteoma-5-year experience. Eur J Radiol 73(2):374–379

    Article  PubMed  Google Scholar 

  14. Neumann D, Berka H, Dorn U, Neureiter D, Thaler C (2012) Follow-up of thirty-three computed-tomography-guided percutaneous radiofrequency thermoablations of osteoid osteoma. Int Orthop 36(4):811–815

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Departament de Cirugia Ortopédica y Traumatologia, Hospital Universitari Vall d’Hebron, Passeig de la Vall d’Hebron 119-129, 08035, Barcelona, Spain

    María Mercedes Reverte-Vinaixa, Roberto Velez, Sonia Alvarez & Manuel Perez

  2. Department of Radiology, Hospital Universitari Vall d’Hebron, Barcelona, Spain

    A. Rivas

Authors
  1. María Mercedes Reverte-Vinaixa
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  2. Roberto Velez
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  3. Sonia Alvarez
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  4. A. Rivas
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  5. Manuel Perez
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Correspondence to María Mercedes Reverte-Vinaixa.

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Reverte-Vinaixa, M.M., Velez, R., Alvarez, S. et al. Percutaneous computed tomography-guided resection of non-spinal osteoid osteomas in 54 patients and review of the literature. Arch Orthop Trauma Surg 133, 449–455 (2013). https://doi.org/10.1007/s00402-013-1686-9

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  • DOI: https://doi.org/10.1007/s00402-013-1686-9

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