Percutaneous CT-guided radiofrequency ablation of osteoid osteoma: Potential Pitfalls and complications and how to avoid them

Singh, Dharmendra Kumar; Kumar, Nishith; Rustagi, Ashish; Jalan, Divesh; Krishna, Loveneesh G.; Sharma, Anuradha

doi:10.1016/j.jcot.2022.101869

Cited by 11 publications

(9 citation statements)

References 27 publications

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“…Previous reports on minimally invasive treatments have focused on image-guided percutaneous radiofrequency ablation. This technique is currently the treatment of choice for most osteoid osteomas because of high success rates, yet there are limitations, such as lack of direct visualization of the operative field, incorrect displacement of the radiofrequency electrode, and thermal injury [10][11][12] .…”

Section: Discussionmentioning

confidence: 99%

Complete Endoscopic Resection of an Osteoid Osteoma in the Body of a Thoracic Vertebra

Mangual-Pérez

Martínez-Rivera

Torres-Lugo

et al. 2023

JBJS Case Connector

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Case: A 29-year-old man presented nontraumatic diffuse thoracic pain. Magnetic resonance imaging of the spine showed a cortical lesion with peripheral hyperintensity, a central sclerotic hypointense nidus, and surrounding paraspinal inflammatory changes at the T3 vertebral body. Clinical and radiologic findings were consistent with an osteoid osteoma. The patient successfully underwent an endoscopic partial corpectomy and mass resection. At the 6-month follow-up, radiographs showed complete tumor resolution. Conclusion:Endoscopic resection is an adequate and minimally invasive technique for the complete resection of osteoid osteomas. Neoplastic processes of the spine should be considered when unexplained, spinal axial and postural pain with associated nocturnal predominance, deformities, and positional changes is noted 1 . Historically, the management of neoplastic lesions on the spine included resection, chemotherapy, radiation, or mechanical stabilization based on the type of spine tumor. However, in the early 1990s, percutaneous (ablation) techniques were introduced, and these have been increasingly advocated as a treatment alternative for the resolution of these lesions, especially benign tumors 2 . Since 2012, some reports have described the usage of complete endoscopic techniques 3 . However, the literature regarding the successful application of these minimally invasive procedures, especially in spinal lesions, remains scarce 4 .The patient was informed that data concerning the case would be submitted for publication, and he provided consent. Case ReportDisclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C15).

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Section: Discussionmentioning

confidence: 99%

Complete Endoscopic Resection of an Osteoid Osteoma in the Body of a Thoracic Vertebra

Mangual-Pérez

Martínez-Rivera

Torres-Lugo

et al. 2023

JBJS Case Connector

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“…Thus, a margin of safety is at least >1 cm from the lesion to the neurovascular bundle or skin surface 21 . The installation of 10% dextrose solution in the subcutaneous plane or the joint cavity may be beneficial 22 . Furthermore, MR‐guided focused ultrasound ablation therapy (MRgFUS) emerges as a new non‐invasive radiology revolution with little damage to the neurovascular bundle or articular cartilage 23–25 .…”

Section: Discussionmentioning

confidence: 99%

“…In addition, relatively large lesions measuring >1 cm in size might have higher odds of recurrence 26,27 . The use of a multi‐pronged probe or multiple probe placements is recommended 22 …”

Section: Discussionmentioning

confidence: 99%

“… 21 The installation of 10% dextrose solution in the subcutaneous plane or the joint cavity may be beneficial. 22 Furthermore, MR‐guided focused ultrasound ablation therapy (MRgFUS) emerges as a new non‐invasive radiology revolution with little damage to the neurovascular bundle or articular cartilage. 23 , 24 , 25 In addition, relatively large lesions measuring >1 cm in size might have higher odds of recurrence.…”

Section: Discussionmentioning

confidence: 99%

“…26,27 The use of a multi-pronged probe or multiple probe placements is recommended. 22 Arthroscopy is another popular procedure with specific advantages of clear tumor visualization, minimal invasion, and sample gathering. What is more, arthroscopy allows the handling of many other conditions simultaneously.…”

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confidence: 99%

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Intra‐articular Osteoid Osteoma of the Intermediate Cuneiform Bone Causing Articular Degeneration: A Rare Case and Literature Review

Chen

Shi

et al. 2023

Orthopaedic Surgery

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Osteoid osteoma of the cuneiform bone is an exceedingly rare and easily missed cause of foot pain. The uncharacteristic and nonspecific radiographs of such intra‐articular osteoid osteoma further increase difficulty in making the diagnosis. To date, there has been no description of intra‐articular osteoid osteoma of the intermediate cuneiform bone causing articular degeneration in any published literatures. We present a case of intra‐articular osteoid osteoma of the intermediate cuneiform bone causing articular degeneration, who underwent curettage, allograft bone graft, and navicular‐cuneiform arthrodesis. The patient presented with radiographic bone union, full motor function recovery and pain‐free at the 22‐month follow‐up. This report adds to the existing literature. Intra‐articular osteoid osteoma of the intermediate cuneiform bone causing articular degeneration is an exceedingly rare and easily missed cause of foot pain. It proves a complicated and challenging task to identify intra‐articular osteoid osteoma. Clinicians should be particularly careful not to exclude the possibility of arthritis and, thus, vigilant when choosing the surgical option.

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Radiofrequency ablation is as safe and effective as surgical excision for spinal osteoid osteoma: a systematic review and meta-analysis

Sangiorgio¹,

Oldrini²,

Candrian

et al. 2022

Eur Spine J

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Percutaneous CT-guided radiofrequency ablation of osteoid osteoma: Potential Pitfalls and complications and how to avoid them

Cited by 11 publications

References 27 publications

Complete Endoscopic Resection of an Osteoid Osteoma in the Body of a Thoracic Vertebra

Complete Endoscopic Resection of an Osteoid Osteoma in the Body of a Thoracic Vertebra

Intra‐articular Osteoid Osteoma of the Intermediate Cuneiform Bone Causing Articular Degeneration: A Rare Case and Literature Review

Radiofrequency ablation is as safe and effective as surgical excision for spinal osteoid osteoma: a systematic review and meta-analysis

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