We report a rare case of a right-sided L4-5 facet osteoid osteoma in a 11-year-old female who presented with lower extremity pain, contractures, and gait disturbance in the setting of failed radiofrequency ablation. After open excision and single-level posterolateral fusion with instrumentation, her symptoms resolved and her spinopelvic parameters normalized.
This case highlights the contracture that may occur as a result of neurogenic pain from an osteoid osteoma in close proximity to neural structures.
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Conflict of interest
Neither Dr. Clohisy nor Dr. Rubio have any relevant financial or non-financial interests to disclose. In the past 36 months, Dr. Gupta has received royalties or honoraria, served as a paid consultant or speaker, or had paid travel from DePuy, Medtronic, Innomed, Scoliosis Research Society (SRS), AO Spine, Alphatec, Medicrea, Mizuho, Globus, and OMeGA, and has had stock in Johnson & Johnson and Procter & Gamble.
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Clohisy, J.C.F., Rubio, D.R. & Gupta, M.C. Severe contracture in the lower extremity resulting from an osteoid osteoma of the lumbar spine in close proximity to neural elements in an adolescent: a case report. Spine Deform 10, 727–731 (2022). https://doi.org/10.1007/s43390-021-00449-6