Percutaneous treatment of osteoid osteoma by CT-guided drilling resection in pediatric patients

Abstract

CT-guided percutaneous drilling resection is a safe, simple and effective minimally invasive technique for the treatment of osteoid osteoma in pediatric patients.

Percutaneous treatment of osteoid osteoma by laser thermocoagulation under computed tomography guidance in pediatric patients

“…However, this technique needs a large-diameter drill, larger than equipment used in thermocoagulation, and is more prone to induce complications, such as fractures, infections, hematomas, adjacent vessel injuries and nerve irritation [14,32]. As in our experience, in view of the drills used (3 to 9 mm diameter), immobilization and reduction of activity seem unavoidable with this technique, but the length of hospitalization and physical activity stoppage are not mentioned [2].…”

“…The series based on percutaneous resection included 18 children, aged 6 to 17 years (mean, 11.6 years) [2]. As in our experience, all procedures were technically successful.…”

“…To our knowledge, there are only two recent strictly pediatric studies respectively using percutaneous resection [2] and radiofrequency ablation [3] ( Table 2).…”

“…under computed tomography (CT) guidance has allowed achieving tumor destruction with minimal invasiveness compared to the classic open-field surgical removal. Only a few studies have been published concerning pediatric patients [2,3], and none on the laser technique in this population. Furthermore, pediatric results of this laser technique have been reported to be less favorable than their adult counterparts [4,5].…”

Multidisciplinary Management of Primary Tumors of the Vertebral Column

“…CT-guided percutaneous resection using a drill inside a trocar has been studied in the treatment of osteoid osteomas of the extremities and spine as a less-invasive treatment modality [69,70]. As reported in Sierre et al, percutaneous resection of osteoid osteomas was achieved successfully in all the 18 patients with primary and secondary success rates of 100% and 94.5%, respectively, and with no complications reported [71]. • CT-guided laser thermocoagulation has many advantages.…”