Osteoid Osteoma and Osteoblastoma of the Spine

Saifuddin, Asif; White, Jonathan; Sherazi, Z.; Mi, Shaikh; Natali, C.; Ao, Ransford

doi:10.1097/00007632-199801010-00010

Cited by 109 publications

(17 citation statements)

References 66 publications

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“…Adolescence is regarded as the peak age for osteoid osteoma and spinal involvement has been reported as 10% to 20% in various studies [8,9]. Backache, which depends on the nidus locus, was the patients' most serious complaint.…”

Section: Discussionmentioning

confidence: 99%

Clinical Findings and Results of Surgical Resection of Thoracolumbar Osteoid Osteoma

et al. 2014

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Study DesignDescriptive, cases series study.PurposeTo evaluate clinical findings and results of treatment of patients with spinal osteoid osteoma who underwent surgery.Overview of LiteratureOsteoid osteoma is a benign tumor with spinal involvement rate of about 10%. It is manifested during adolescence with symptoms such as painful scoliosis. To treat the problem, operation on the patients and excising the nidus are suggested.MethodsThis descriptive study was conducted on 11 patients with spinal osteoid osteoma at our orthopedic educational center. All patients were treated through open surgery and nidus curettage. All samples were pathologically confirmed. Imaging methods (spiral computed tomography-scan) was used in preoperative planning. Scoliosis and other clinical findings were studied.ResultsThe study was conducted on 11 patients comprising 6 females (54.5%) and 5 males (45.5%) with the mean age of 14.6 years. Mean deviation of scoliosis resulting from spinal osteoid osteoma was 22.8 degrees. There was more scoliosis in the involvement of the lumbar vertebra. In comparison with adults, scoliosis was more severe in youths. There was one case of vertebra body involvement with manifestation of painful scoliosis. Due to lack of careful preoperative examination, the surgery was repeated for this case. No sign of recurrence was observed in patients who underwent open surgery and all scoliosis in the follow-up had improved.ConclusionsBased on our findings, surgical excision of spinal ostoeid osteoma was successful and complete recovery was achieved in spinal deformity in the course of follow-up. Scoliosis is often seen during adolescence and lumbar involvement is more severe.

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Section: Discussionmentioning

confidence: 99%

Clinical Findings and Results of Surgical Resection of Thoracolumbar Osteoid Osteoma

et al. 2014

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“…However, a growing number of reports, including our experience exemplify the utility of preoperative embolization. Anecdotally, only one report of local recurrence in 16 cases (6.25%) has been described [2,14,19,21]. The use of preoperative embolization in our patient decreased bleeding and improved visualization.…”

Section: Discussionmentioning

confidence: 61%

“…These symptoms are often present for greater than 12 months prior to diagnosis, and many patients will go on to manifest neurological sequelae or a painful scoliosis [1,[15][16][17]19]. Delayed diagnosis occurs because initial symptoms are often nonspecific and osteoblastoma accounts for less than 1% of all bone tumors [11].…”

Section: Introductionmentioning

confidence: 99%

Treatment of osteoblastoma at C7: a multidisciplinary approach. A case report and review of the literature

et al. 2008

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Osteoblastoma is a rare benign bone tumor that presents with back pain and occurs in the spine approximately 40% of the time. The time from onset of symptoms to diagnosis is typically several months because it is a rare entity and radiographic studies are often negative early in the course of the disease. These highly vascular and locally aggressive tumors require complete and precise resection. The patient presented is a 15-year-old boy with a 14-month history of right-sided neck and shoulder pain. Computerized tomography and magnetic resonance imaging demonstrated a lesion in the posterior elements of C7 which extended through the pedicle and into the body. Preoperative angiography confirmed a hypervascular lesion which was successfully embolized. He subsequently underwent piecemeal tumor resection and instrumented fusion. Immediate postoperative imaging demonstrated complete resection. At 18 months follow up the patient has maintained resolution of preoperative symptoms and demonstrates evidence of solid fusion on CT. This multidisciplinary approach markedly decreased blood loss and improved visualization to help achieve complete surgical resection and resolution of clinical symptoms.

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“…Although lesions have been reported to be in concave side of deformity in almost all cases including ours, Saifuddin et al [29] reported 3 cases of convex side lesions. As shown in Table 6, there was spinal deformity in 65% of our cases (13 of 19 cases) and 12 of them (60%) were scoliosis with an average of 21.5° Cobb.…”

Section: Discussionmentioning

confidence: 67%

“…Saifuddin et al [29] reported that the thoracic and lumbar regions are the most common sites of involvement.…”

Section: Discussionmentioning

confidence: 99%

Clinical Findings and Results of Surgical Resection in 19 Cases of Spinal Osteoid Osteoma

Etemadifar

Hadi

2015

Asian Spine J

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Study DesignDescriptive cases series.PurposeTo evaluate clinical findings and results of conventional surgery in patients with spinal osteoid osteoma (OO).Overview of LiteratureOO is a rare benign tumor with spinal involvement rate of about 10%-20%.MethodsThis descriptive study was conducted on 19 patients (11 males and 8 females with an average age of 19.8 years) with documented histopathological and imaging findings of OO referred to a university hospital. Neurologic symptoms and pain were scored before and after the open surgical excision. Data were analyzed by SPSS ver. 16 software using chi-square and significance level of 0.05.ResultsThe most common complaint was back or neck pain (84.2%) and in 68.4% spinal deformity (mostly scoliosis) shown with an average cobb angle of 21° at presentation. The sites of involvement were 35% in the lumbar, 35% in the thoracic, 25% in the cervical, and 5% in the sacrum. Lamina was the most common site (50%) of involvement with predilection for the right side (p=0.001). All patients were treated by conventional surgical excision with a complete recovery of pain and deformity. No recurrence occurred after a mean follow up of 44.5 months, but 4 of 19 cases instrumented because of induced instability. In one case there were two levels of involvement (C7-T1) simultaneously. Interestingly, 10 out of 19 of our cases belonged to a specific race (Bakhtiari).ConclusionsSurgical intra-lesional curettage is potentially an effective method without any recurrence, which can lead to spontaneous scoliosis recovery and pain relief. Race may be a potential risk factor for spinal (OO).

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Osteoid Osteoma and Osteoblastoma of the Spine

Abstract: The findings support the concept that scoliosis is secondary to asymmetric muscle spasm in patients with spinal osteoid osteoma or osteoblastoma.

Cited by 109 publications

References 66 publications

Clinical Findings and Results of Surgical Resection of Thoracolumbar Osteoid Osteoma

Clinical Findings and Results of Surgical Resection of Thoracolumbar Osteoid Osteoma

Treatment of osteoblastoma at C7: a multidisciplinary approach. A case report and review of the literature

Clinical Findings and Results of Surgical Resection in 19 Cases of Spinal Osteoid Osteoma

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