Percutaneous radiofrequency ablation versus open surgical resection for spinal osteoid osteoma

Xiang, Yu; Wang, Ben; Yang, Shi; Han, Seung-Beom; Jiang, Liang; Liu, Xiaoguang; Wei, Feng; Wu, Fan; Dang, Lei; Liu, Zhongjun

doi:10.1016/j.spinee.2018.07.013

Cited by 32 publications

(34 citation statements)

References 23 publications

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“…Generally, lesions with an absent cortex or located within 5 mm of a neural structure are considered at risk of thermal injury. 18 Nonetheless, Yu et al 33 have performed radiofrequency ablation successfully with only 1 mm of cerebrospinal fluid space between the lesion and the neural element. Techniques with either air or saline insufflation have been proposed to reduce the risk of injury.…”

Section: Strong Very Lowmentioning

confidence: 99%

Primary Bone Tumor of the Spine—An Evolving Field: What a General Spine Surgeon Should Know

Charest-Morin

Fisher

Sahgal

et al. 2019

Global Spine Journal

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Study Design: A narrative review of the literature. Objective: This article reviews the general principles of treatment and investigation for primary bone tumors of the spine. Furthermore, it explores the emerging alternatives. Methods: A review was performed using Medline, Embase, and Cochrane databases. Results: Primary bone tumors of the spine are rare entities that general spine surgeons may encounter only a few times in their career. The treatment algorithm of these complex tumors is filled with nuances and is evolving constantly. For these reasons, patients should be referred to experienced tertiary or quaternary centers who can offer a comprehensive multidisciplinary approach. For most malignant spinal bone tumors, surgery remains the cornerstone of treatment. Respecting oncologic principles has been associated with improved survival and decreased local recurrence in multiple settings. However, even in experienced centers, these surgeries carry a significant risk of adverse events and possible long-term neurologic impairment. The associated morbidity of these procedures and the challenges of local recurrence have encouraged professionals caring for these patients to explore alternatives or adjuncts to surgical treatment. Conclusions: Over the past few years, several advances have occurred in medical oncology, radiation oncology and interventional radiology, changing the treatment paradigm for some tumors. Other advances still need to be refined before being applied in a clinical setting.

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Section: Strong Very Lowmentioning

confidence: 99%

Primary Bone Tumor of the Spine—An Evolving Field: What a General Spine Surgeon Should Know

Charest-Morin

Fisher

Sahgal

et al. 2019

Global Spine Journal

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“…Since the recurrence rate is still the key index to judge the e cacy of bone tumor surgery [29][30][31], our patients were followed up for a mean of 36.9 months. In case of 93 patients, there was no recurrence of pain, and no recurrence was found on X-ray reexamination.…”

Section: Resultsmentioning

confidence: 99%

Is precise open excision a more suitable surgical method for osteoid osteoma?

Yuan

Long

Liu

et al. 2020

Preprint

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Background The aim of this retrospective study was to evaluate the efficacy of precise open excision surgery to treat osteoid osteoma with C-arm assisted precise localization during the operation. Methods From June 2010 to June 2017, patients with osteoid osteoma of the extremities who had undergone treatment by high speed burr grinding, full scratching with curette, and C-arm assisted lesion localization during the operation were analyzed retrospectively. The preoperative and postoperative pain was assessed by the visual analogue scale (VAS) scoring. The patients were followed up regularly, and the advantages, effects, and complications of the therapeutic technique were analyzed. Results The study consisted of 94 patients (59 males, 35 females; mean age, 17.6 ± 8.5 years) and they were followed up for a mean of 38.9 months (range, 24–72 months). All patients were diagnosed with osteoid osteoma by postoperative pathological examination. Follow-up consisted of imaging reexamination and clinical evaluation. If the patients did not take non-steroidal anti-inflammatory drugs (NSAIDs) before the operation, the mean pre-operative VAS score was 6.7, and the mean VAS score of all patients was 0 one month after operation. The mean time for all patients to resume normal daily activities was 14.3 days (range, 10–21 days). There was no recurrence of pain, infection, vascular or nerve injury, and fracture complications during the follow-up. In only one case of distal femur osteoid osteoma (OO), review X-ray found a suspected recurrence 50 months after the primary surgery and subsequently, the patient underwent a second surgery. Till date, the patient has reported no discomfort following the second surgery. Conclusions For treatment of osteoid osteoma, open incision and minimal resection with C-arm assisted tumor localization is still a suitable method, especially for osteoid osteoma located on the surface of the cortical bone.

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“…In cases like ours in which osseous tumor infiltration produces radicular nerve root irritation and radicular symptoms, wide surgical excision of the tumor and surrounding tissue is the treatment of choice. 12,22,23 Moreover, en-bloc excision is a guarantor of lower risk of recurrence than piecemeal excision, curettage, and RFA, since it leads to a complete removal of the nidus. 5,22…”

Section: Discussionmentioning

confidence: 99%

Spinal Osteoid Osteoma Revealed by Radiculopathy: Case Report and Literature Review

et al. 2020

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Osteoid osteoma (OO) is a benign tumor that usually occurs in long bones of young males. We report a rare case of spinal OO in a 25-year-old woman, revealed by a sciatica. Spinal radiographs and computed tomography scan were normal, although performed at 6 months of symptom evolution. On magnetic resonance imaging, however, an important edema of the right transverse process of L5 vertebrae was depicted but was inconclusive. The diagnosis of OO was finally retained on a second computed tomography scan with thinner slices focused on the edematous area. The patient had an en-bloc excision of the tumor with complete regression of symptoms. Due to the atypical clinical presentation and the absence of common findings in imaging, the diagnosis was delayed by 12 months. Radiculopathy caused by spinal OO is a rare condition with no more than 30 cases reported in the literature. In fact, spinal OO usually presents with inflammatory back pain or painful scoliosis. This case emphasizes the importance of early suspicion and diagnostic interventions in the detection and treatment of OO.

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Percutaneous radiofrequency ablation versus open surgical resection for spinal osteoid osteoma

Cited by 32 publications

References 23 publications

Primary Bone Tumor of the Spine—An Evolving Field: What a General Spine Surgeon Should Know

Primary Bone Tumor of the Spine—An Evolving Field: What a General Spine Surgeon Should Know

Is precise open excision a more suitable surgical method for osteoid osteoma?

Spinal Osteoid Osteoma Revealed by Radiculopathy: Case Report and Literature Review

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