Percutaneous radiofrequency ablation in osteoid osteoma

Lindner, Norbert; Ozaki, Toshifumi; Roedl, Robert; Gosheger, Georg; Winkelmann, Winfried; Wörtler, Klaus

doi:10.1302/0301-620x.83b3.11679

Cited by 236 publications

(175 citation statements)

References 31 publications

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“…In addition, RFA proves to be a better tool in treating symptomatic recurrences after surgical resections (100% vs 90%). 30 Several authors have published articles [29][30][31][32][33][34][35][36][37][38] reporting a significant therapeutic success, confirming the effectiveness of RFA also in the long-term and on large series, showing that RFA is a safe method for treating OO with a low number of complications. Flanagin and Lindskog, 39 in their study, referred an efficacy of this technique equals 92.8%, in agreement with the previous data reported in literature.…”

Section: Osteoid Osteomamentioning

confidence: 80%

“…40 The right choice of the electrodes to be used during the procedure is essential. Most of the studies 29,30,32,37,40 report the use of a single standard electrode, without internal cooling devices, with an active exposed tip of 5-10 mm. Taking into consideration that the tissue damage caused by RFA extends a few millimetres beyond the tip of the probe, a sufficient distance from the vital structures should be ensured; the standard safety distance is at least 1 cm.…”

Section: Osteoid Osteomamentioning

confidence: 99%

“…Usually, OO nocturnal pain symptoms recede immediately after treatment with RFA, leading to a healing rate of about 97% of cases, after the first session. 42 The main studies 29,32,33 on RFA indicate a procedural complication rate of only 3%, the most common of which seems to be skin burning in the treated site, followed by local infection, necrosis of the adjacent structures and post-intervention fractures. Minor complications are loss of sensitivity in the treated site that generally improves spontaneously in about 2 weeks.…”

Section: Osteoid Osteomamentioning

confidence: 99%

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Paediatric musculoskeletal interventional radiology

Natali¹,

Paolantonio²,

Fruhwirth³

et al. 2016

BJR

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Interventional radiology technique is now well established and widely used in the adult population. Through minimally invasive procedures, it increasingly replaces surgical interventions that involve higher percentages of invasiveness and, consequently, of morbidity and mortality. For these advantageous reasons, interventional radiology in recent years has spread to the paediatric age as well. The aim of this study was to review the literature on the development, use and perspectives of these procedures in the paediatric musculoskeletal field. Several topics are covered: osteomuscle neoplastic malignant and benign pathologies treated with invasive diagnostic and/or therapeutic procedures such as radiofrequency ablation in the osteoid osteoma; invasive and non-invasive procedures in vascular malformations; treatment of aneurysmal bone cysts; and role of interventional radiology in paediatric inflammatory and rheumatic inflammations. The positive results that have been generated with interventional radiology procedures in the paediatric field highly encourage both the development of new ad hoc materials, obviously adapted to young patients, as well as the improvement of such techniques, in consideration of the fact that childrens' pathologies do not always correspond to those of adults. In conclusion, as these interventional procedures have proven to be less invasive, with lower morbidity and mortality rates as well, they are becoming a viable and valid alternative to surgery in the paediatric population. MUSCULOSKELETAL MALIGNANT TUMOURSOsteosarcoma, Ewing sarcoma and rhabdomyosarcoma are the most common musculoskeletal tumours of childhood and adolescence.

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Section: Osteoid Osteomamentioning

confidence: 80%

Section: Osteoid Osteomamentioning

confidence: 99%

Section: Osteoid Osteomamentioning

confidence: 99%

See 1 more Smart Citation

Paediatric musculoskeletal interventional radiology

Natali¹,

Paolantonio²,

Fruhwirth³

et al. 2016

BJR

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“…Tumors supplied by a rich capillary network, such as metastatic melanoma or myeloma, respond poorly to embolization. To maximize the effects of the embolization, the planned surgery should be respond be conducted within 24 to 48 hours [16][17][18] .…”

Section: Image-guided Interventionsmentioning

confidence: 99%

Diagnosis and Planning in the Management of Musculoskeletal Tumors - A Review

Rahman

Uddin²

2017

Faridpur Med Coll J

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Abstract:The prognosis of patients with musculoskeletal tumors has improved markedly because of the advent of new chemotherapeutic drugs and regimens and as a result of advances in imaging and surgical techniques. Limb-salvage operations can currently be performed with better outcomes, while in the past; limbs with tumors were treated only with amputation. Accurate preoperative surgical staging of musculoskeletal tumors is currently possible because imaging techniques provide prognostic information and aid clinicians in choosing the most appropriate treatment option for the patient. The aim of this article is to outline the presentation, imaging, and staging of the primary and metastatic bone and soft tissue tumors. Some of the image-guided interventions for these tumors are also presented.

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“…Several CT-guided percutaneous techniques have been employed to achieve removal or destruction of the nidus with minimal invasiveness, including thermal destruction by means of laser photocoagulation or RFA. [57][58][59][60][61][62][63][64][65] The hip is the most common location of intra-articular osteoid osteomas. They are usually located at the femoral neck and less commonly at the femoral head or the acetabulum.…”

Section: Materials and Techniquementioning

confidence: 99%

Interventional MSK procedures: the hip

Dodré¹,

Lefebvre²,

Cockenpot³

et al. 2016

BJR

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Percutaneous musculoskeletal procedures are widely accepted as low invasive, highly effective, efficient and safe methods in a vast amount of hip pathologies either in diagnostic or in therapeutic management. Hip intra-articular injections are used for the symptomatic treatment of osteoarthritis. Peritendinous or intrabursal corticosteroid injections can be used for the symptomatic treatment of greater trochanteric pain syndrome and anterior iliopsoas impingement. In past decades, the role of interventional radiology has rapidly increased in metastatic disease, thanks to the development of many ablative techniques. Image-guided percutaneous ablation of skeletal metastases provides a minimally invasive treatment option that appears to be a safe and effective palliative treatment for localized painful lytic lesion. Methods of tumour destruction based on temperature, such as radiofrequency ablation (RFA) and cryotherapy, are performed for the management of musculoskeletal metastases. MR-guided focused ultrasound surgery provides a non-invasive alternative to these ablative methods. Cementoplasty is now widely used for pain management and consolidation of acetabular metastases and can be combined with RFA. RFA is also used to treat benign tumours, namely osteoid osteomas. New interventional procedures such as percutaneous screw fixation are also proposed to treat non-displaced or minimally displaced acetabular roof fractures. INTRODUCTIONHip intra-articular injections have been used for many years as a diagnostic and/or therapeutic tool and even today remain an effective treatment for osteoarthritis providing pain relief. Ultrasound guidance can be used for injections in patients with greater trochanteric pain syndrome and CT scan guidance for corticosteroid injection in the management of anterior iliopsoas impingement after total hip arthroplasty. Interventional radiology plays a major role in the management of bone tumours. Several image-guided percutaneous ablation methods have proved effective for palliation of metastases involving bone and for the treatment of benign bone tumours, namely osteoid osteoma. To treat pain and consolidate the bone, cementoplasty could be required. In the therapeutic management of acetabular fractures, the combination of CT and fluoroscopy guidance could have a place in treating non-displaced or minimally displaced acetabular roof fractures.

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Percutaneous radiofrequency ablation in osteoid osteoma

Cited by 236 publications

References 31 publications

Paediatric musculoskeletal interventional radiology

Paediatric musculoskeletal interventional radiology

Diagnosis and Planning in the Management of Musculoskeletal Tumors - A Review

Interventional MSK procedures: the hip

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