Skip to main content
SpringerLink
Log in

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 Deformity Aims and scope Submit manuscript

Cite this article

Abstract

Case

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.

Conclusions

This case highlights the contracture that may occur as a result of neurogenic pain from an osteoid osteoma in close proximity to neural structures.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Weber MA, Sprengel SD, Omlor GW et al (2015) Clinical long-term outcome, technical success, and cost analysis of radiofrequency ablation for the treatment of osteoblastomas and spinal osteoid osteomas in comparison to open surgical resection. Skeletal Radiol 44(7):981–993. https://doi.org/10.1007/s00256-015-2139-z

    Article  PubMed  Google Scholar 

  2. Albisinni U, Facchini G, Spinnato P et al (2017) Spinal osteoid osteoma: efficacy and safety of radiofrequency ablation. Skeletal Radiol 46(8):1087–1094. https://doi.org/10.1007/s00256-017-2662-1

    Article  PubMed  Google Scholar 

  3. Faddoul J, Faddoul Y, Kobaiter-Maarrawi S et al (2017) Radiofrequency ablation of spinal osteoid osteoma: a prospective study. J Neurosurg Spine 26(3):313–318. https://doi.org/10.3171/2016.8.SPINE16462

    Article  PubMed  Google Scholar 

  4. Faraj A, Byrne P, Mehdian H (1998) Osteoid osteoma of the lateral mass of C5. Should excision be combined with fusion? Eur Spine J 7(3):242–245. https://doi.org/10.1007/s005860050065

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Hempfing A, Hoffend J, Bitsch RG et al (2007) The indication for gamma probe-guided surgery of spinal osteoid osteomas. Eur Spine J 16(10):1668–1672. https://doi.org/10.1007/s00586-007-0388-9

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Laus M, Albisinni U, Alfonso C et al (2007) Osteoid osteoma of the cervical spine: surgical treatment or percutaneous radiofrequency coagulation? Eur Spine J 16(12):2078–2082. https://doi.org/10.1007/s00586-007-0478-8

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Rajasekaran S, Kamath V, Shetty AP (2008) Intraoperative Iso-C three-dimensional navigation in excision of spinal osteoid osteomas. Spine 33(1):E25–E29. https://doi.org/10.1097/BRS.0b013e31815e6308

    Article  CAS  PubMed  Google Scholar 

  8. Yang WT, Chen WM, Wang NH et al (2007) Surgical treatment for osteoid osteoma–-experience in both conventional open excision and CT-guided mini-incision surgery. J Chin Med Assoc 70(12):545–550. https://doi.org/10.1016/S1726-4901(08)70058-3

    Article  PubMed  Google Scholar 

  9. Filippiadis D, Mavrogenis A, Spiliopoulos S et al (2021) Percutaneous computed tomography-guided radiofrequency ablation of a spinal osteoid osteoma abutting the dura: a case report and review of the literature. Eur J Orthop Surg Traumatol. https://doi.org/10.1007/s00590-021-02922-4

    Article  PubMed  Google Scholar 

  10. Lorenc T, Kocoń H, Gołębiowski M (2021) Computed tomography-guided percutaneous radiofrequency and laser ablation for the treatment of osteoid osteoma—long-term follow-up from 5 to 10 years. Pol J Radiol 86:e19–e30. https://doi.org/10.5114/pjr.2021.102678

    Article  PubMed  PubMed Central  Google Scholar 

  11. Beyer T, van Rijswijk CSP, Villagran JM et al (2019) European multicentre study on technical success and long-term clinical outcome of radiofrequency ablation for the treatment of spinal osteoid osteomas and osteoblastomas. Neuroradiology 61(8):935–942. https://doi.org/10.1007/s00234-019-02226-9

    Article  PubMed  Google Scholar 

  12. Prod’homme M, Cavalié G, Kerschbaumer G et al (2019) T1 Vertebra pedicular osteoid osteoma: minimally invasive surgical resection aided by new integrated navigation to 3D imaging device. Case Rep Orthop 2019:7626454. https://doi.org/10.1155/2019/7626454

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Mallepally AR, Mahajan R, Pacha S et al (2020) Spinal osteoid osteoma: surgical resection and review of literature. Surg Neurol Int 11:308. https://doi.org/10.25259/SNI_510_2020

    Article  PubMed  PubMed Central  Google Scholar 

  14. Kirwan EO, Hutton PA, Pozo JL et al (1984) Osteoid osteoma and benign osteoblastoma of the spine. Clinical presentation and treatment. J Bone Joint Surg Br 66(1):21–26. https://doi.org/10.1302/0301-620X.66B1.6693472

    Article  CAS  PubMed  Google Scholar 

  15. Makley JT, Dunn MJ (1982) Prostaglandin synthesis by osteoid osteoma. Lancet 2(8288):42. https://doi.org/10.1016/s0140-6736(82)91174-6

    Article  CAS  PubMed  Google Scholar 

  16. Greco F, Tamburrelli F, Ciabattoni G (1991) Prostaglandins in osteoid osteoma. Int Orthop 15(1):35–37. https://doi.org/10.1007/BF00210531

    Article  CAS  PubMed  Google Scholar 

  17. Mungo DV, Zhang X, O’Keefe RJ et al (2002) COX-1 and COX-2 expression in osteoid osteomas. J Orthop Res 20(1):159–162. https://doi.org/10.1016/S0736-0266(01)00065-1

    Article  CAS  PubMed  Google Scholar 

  18. Rosenthal DI, Hornicek FJ, Wolfe MW et al (1998) Percutaneous radiofrequency coagulation of osteoid osteoma compared with operative treatment. J Bone Joint Surg Am 80(6):815–821. https://doi.org/10.2106/00004623-199806000-00005

    Article  CAS  PubMed  Google Scholar 

  19. Klass D, Marshall T, Toms A (2009) CT-guided radiofrequency ablation of spinal osteoid osteomas with concomitant perineural and epidural irrigation for neuroprotection. Eur Radiol 19(9):2238–2243. https://doi.org/10.1007/s00330-009-1404-8

    Article  PubMed  Google Scholar 

  20. Simon MA (1999) Percutaneous radiofrequency coagulation of osteoid osteoma compared with operative treatment. J Bone Joint Surg Am 81(3):437–438

    Article  CAS  PubMed  Google Scholar 

  21. Tomasian A, Wallace AN, Jennings JW (2017) Benign spine lesions: advances in techniques for minimally invasive percutaneous treatment. AJNR Am J Neuroradiol 38(5):852–861. https://doi.org/10.3174/ajnr.A5084

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Rybak LD, Gangi A, Buy X et al (2010) Thermal ablation of spinal osteoid osteomas close to neural elements: technical considerations. AJR Am J Roentgenol 195(4):W293–W298. https://doi.org/10.2214/AJR.10.4192

    Article  PubMed  Google Scholar 

  23. Burn SC, Ansorge O, Zeller R et al (2009) Management of osteoblastoma and osteoid osteoma of the spine in childhood. J Neurosurg Pediatr 4(5):434–438. https://doi.org/10.3171/2009.6.PEDS08450

    Article  PubMed  Google Scholar 

  24. Kadhim M, Binitie O, O’Toole P et al (2017) Surgical resection of osteoid osteoma and osteoblastoma of the spine. J Pediatr Orthop B 26(4):362–369. https://doi.org/10.1097/BPB.0000000000000406

    Article  PubMed  Google Scholar 

  25. Ozaki T, Liljenqvist U, Hillmann A et al (2002) Osteoid osteoma and osteoblastoma of the spine: experiences with 22 patients. Clin Orthop Relat Res 397:394–402. https://doi.org/10.1097/00003086-200204000-00046

    Article  Google Scholar 

  26. Campos WK, Gasbarrini A, Boriani S (2013) Case report: Curetting osteoid osteoma of the spine using combined video-assisted thoracoscopic surgery and navigation. Clin Orthop Relat Res 471(2):680–685. https://doi.org/10.1007/s11999-012-2725-5

    Article  PubMed  Google Scholar 

Download references

Funding

No funding was received for conducting this study.

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Washington University School of Medicine, Washington University Orthopaedics, 4921 Parkview Place, Suite 6B, Campus Box 8605, St. Louis, MO, 63110, USA

    John C. F. Clohisy & Munish C. Gupta

  2. Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT, USA

    Daniel R. Rubio

Authors
  1. John C. F. Clohisy
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Daniel R. Rubio
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Munish C. Gupta
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

All authors contributed to the study conception and design. Material preparation, medical record review, and data collection were performed by JCFC. The first draft of the manuscript was written by JCFC and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Munish C. Gupta.

Ethics declarations

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.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Written informed consent was obtained from the parents.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and Permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s43390-021-00449-6

Keywords

search

Navigation