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Therapeutic outcome of CT-guided radiofrequency ablation in patients with osteoid osteoma

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Abstract

Objective

To assess the long-term outcome of computed tomography-guided radiofrequency ablation (CT-guided RFA) in patients with suspected osteoid osteoma (OO).

Materials and methods

Single-center retrospective study. Patients with clinical suspicion and imaging diagnosis of osteoid osteoma were treated by CT-guided RFA using the same device with either a 7- or 10-mm active tip electrode. Specific precautions were applied in case of articular or spinal OO. Patients were contacted by phone to evaluate the long-term outcome in terms of pain, ability to perform daily activities (including sports), and long-term complications. Success was defined as the absence of residual pain and ability to perform daily activities normally.

Results

From 2008 to 2015, 126 patients were treated by CT-guided RFA for OO in our institution. Mean patient age was 26.1 years (SD = 11, range 1–53); mean delay to diagnosis was 16.9 months (SD = 15.2, range 1–120). Among patients who answered the follow-up call (n = 88), the overall success rate was 94.3%: 79/88 (89.8%) had primary success of the procedure, and 4/88 (4.5%) had a secondary success (repeat-RFA after pain recurrence). Mean follow-up time was 34.6 months (SD = 24.7, range 3–90). Few complications occurred: two mild reversible peripheral nerve injuries, one brachial plexus neuropathy, one broken electrode tip fragment, and one muscular hematoma.

Conclusion

Osteoid osteoma can be effectively and safely treated by CT-guided RFA using the presented ablation protocol. Beneficial effects of the treatment persist at long-term follow-up.

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Authors and Affiliations

  1. Service de radiologie ostéo-articulaire, Hopital Cochin-APHP Paris Université Paris Descartes, Paris, France

    Louis Lassalle, R. Campagna, G. Corcos & A. Feydy

  2. Service de chirurgie orthopédique, Hopital Cochin-APHP Paris Université Paris Descartes, Paris, France

    A. Babinet

  3. Service d’anatomo-pathologie, Hopital Cochin-APHP Paris Université Paris Descartes, Paris, France

    F. Larousserie

  4. Service d’anesthésie, Hopital Cochin-APHP Paris Université Paris Descartes, Paris, France

    J. Stephanazzi

Authors
  1. Louis Lassalle
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  2. R. Campagna
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  3. G. Corcos
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  4. A. Babinet
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  5. F. Larousserie
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  6. J. Stephanazzi
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  7. A. Feydy
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Correspondence to Louis Lassalle.

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Lassalle, L., Campagna, R., Corcos, G. et al. Therapeutic outcome of CT-guided radiofrequency ablation in patients with osteoid osteoma. Skeletal Radiol 46, 949–956 (2017). https://doi.org/10.1007/s00256-017-2658-x

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  • DOI: https://doi.org/10.1007/s00256-017-2658-x

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