Osteoblastoma of the Sacrum

Ruggieri, Pietro; Huch, Klaus; Mavrogenis, Andreas F.; Merlino, Biagio; Angelini, Andrea

doi:10.1097/brs.0000000000000061

Cited by 21 publications

(21 citation statements)

References 28 publications

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“…The mean age of the patients at the time of diagnosis was 14.2 years. In terms of age and gender, the findings in our series are compatible with those of the literature 24 .Patients usually show clinical signs of pain and neurological deficit. The time between the surgery and the onset of symptoms are usually delayed 25 .…”

Section: Discussionsupporting

confidence: 91%

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The Results of Wide Resection in Sacral Osteoblastoma

Dinçel¹,

Arıkan²,

Özer³

et al. 2022

jamp

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The aim of this study was assess the results without instrumentation the clinical findings and treatment outcomes of wide resection in sacral osteoblastoma. A retrospective review was conducted in the hospital archive from 1983 to 2017. As a result of the examination, 238 osteoid osteoma and osteoblastoma patients were found. Osteoid osteoma was present in 210 (88.2%) patients and osteoblastoma was present in 28 (11.7%) patients. Five patients who had been operated for osteoblastoma of the sacrum were retrospectively evaluated. Preoperative and postoperative plain radiographs, MR, CT and scintigraphy scans of all patients were taken. The lesion was located at the S4-S5 vertebrae in two patients, at the S2-S3 in one, at the S1in one and at the S4 in the other. Diagnoses were made by either open or closed biopsy. The patients were treated with wide resection. The mean follow-up period was 31.6 (range: 18 to 50) months. One patient developed a superficial wound infection. No local recurrence was observed. All patients were pain-free in the postoperative period. Wide resection of sacral osteoblastoma proved successful results in the short follow-up period of 31.6 months, with no recurrence.

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Section: Discussionsupporting

confidence: 91%

“…Although CT is necessary in exact assessment of the bone involvement, MRI is a complemental method. MRI is essential in the assessment of the medullary canal, nerve roots and soft tissues 24 .…”

Section: Discussionmentioning

confidence: 99%

The Results of Wide Resection in Sacral Osteoblastoma

Dinçel¹,

Arıkan²,

Özer³

et al. 2022

jamp

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“…Osteoblastomas are rare, benign, bone-forming tumours comprising ~1% of bone neoplasms [1]. Comparted to osteoid osteomas (OO), osteoblastomas are larger (>2cm) and can be locally aggressive [1,2]. Malignant degeneration has been reported [1].…”

Section: Test Yourself Answer To Question: a 22-year-old Female With ...mentioning

confidence: 99%

“…Comparted to osteoid osteomas (OO), osteoblastomas are larger (>2cm) and can be locally aggressive [1,2]. Malignant degeneration has been reported [1]. The spine is commonly affected (~40% of cases), with sacral lesions accounting for ~17% of spinal osteoblastomas [1].…”

Section: Test Yourself Answer To Question: a 22-year-old Female With ...mentioning

confidence: 99%

Test Yourself Answer: A 22-year-old female with a 2-year history of progressive right lower back pain

2022

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“…Particular attention has to be reserved for lesions located in the sacrum, where the recurrence rate is higher than in other areas, possibly due to the complex anatomy and the presence of the sacral roots (Figure 3) [22].…”

Section: Spinementioning

confidence: 99%

Osteoblastoma: When the Treatment Is Not Minimally Invasive, an Overview

Zoccali

Novello

Arrigoni

et al. 2021

JCM

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Background: osteoblastoma is a bone-forming tumor accounting for about 1% of all primary bone tumors and 3% of benign bone tumors. The gold-standard treatment is surgical excision; nevertheless, minimally invasive radiological techniques such as thermoablation and, more recently, high intensity focused ultrasound are gaining more importance. The aim of the present paper is to analyze surgical indications based on our experience and on the evidences in the literature. Methods: all patients affected by osteoblastoma who underwent surgical excision in January 2009 and December 2018 were reviewed; eleven patients were enrolled in the study. The epidemiological aspects, size of the disease and site of onset, symptoms, surgery type, indications, and results are reported for every case. Results: all treatments were based on a preoperative diagnosis; pain was constant in all cases. Intralesional surgeries were performed in 9 out of 11 cases; the remaining 2 cases underwent wide resection. No early or late complications occurred after the surgical procedure. The indications for surgery were lesions very close to nerves or joints, unclear diagnosis, risk of fracture, lesion too large for radiofrequency thermoablation, or failure of minimally invasive treatments. At a medium follow-up of 88 months, no local recurrences were verified. Conclusions: osteoblastoma is a rare tumor with difficult diagnosis. Identification is based on symptoms, imaging, and histology. When possible, minimally invasive techniques is preferred for treatment but surgery is still considered the gold standard.

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Osteoblastoma of the Sacrum

Abstract: 4.

Cited by 21 publications

References 28 publications

The Results of Wide Resection in Sacral Osteoblastoma

The Results of Wide Resection in Sacral Osteoblastoma

Test Yourself Answer: A 22-year-old female with a 2-year history of progressive right lower back pain

Osteoblastoma: When the Treatment Is Not Minimally Invasive, an Overview

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