Abstract
In eight children with suspected osteoid osteoma, a percutaneous resection under CT guidance was performed. The specificdrill resection system we currently use includes a 7-mm-diameter toothed drill. Osteoid osteomas were located in the appendicular skeleton in seven children and in the spine (second lumbar vertebral body) in one. All eight patients were successfully treated with complete relief of pain. There was no recurrence of symptoms during a follow-up period of 8–35 months. CT guidance was accurate enough to allow a focal bone excision, and no subsequent bone repair was needed. Histological confirmation was obtained in all cases. This simple and safe technique, when feasible, seems to be an effective means of treatment of osteoid osteoma in children.
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Norman A (1978) Persistence or recurrence of pain: a sing of surgical failure. Clin Orthop 130: 263–266
Swee RG, Mc Leod RA, Beabout JW (1979) Osteoid osteoma: detection, diagnosis and localisation. Radiology 130: 117–123
Kransdorf MJ, Stull MA, Gilkey FW, Moser Jr RP (1991) Osteoid osteoma. Radiographics 11: 671–696
Voto SJ, Cook AT, Weiner DS, Ewing JW, Arrington LE (1990) Treatment of osteoid osteoma by computed tomography guided excision in the pediatric patient. J Pediatr Orthop 10: 510–513
Mosheiff R, Liebergalb M, Ziv I, Amir G, Segal D (1991) Osteoid osteoma of the scapula. Clin Orthop 262: 129–131
Doyle T, King K (1989) Percutaneous removal of osteoid osteomas using CT control Clin Radiol 10: 514–517
Poey C, Clement JL, Baunin C, Assoun J, Puget-Mechinaud C, Giron J, Joomye H, Chicoisne MP, Bonnevialle P, Railhac JJ (1991) Percutaneous extraction of an osteoid osteoma of the lumbar spine under CT-guidance. J Comput Assist Tomogr 15: 1056–1058.
Assoun J, Railhac JJ, Bonnevialle P, Poey C, Sales de Gauzy J, Baunin C, Cahuzac JP, Clement JL, Coustets B, Railhac N (1993) Osteoid osteoma: percutaneous resection with CT guidance. Radiology 188: 541–547
Kohler R, Mazoyer JF, Besse JL, Bascoulergue Y (1990) The treatment of osteoid osteoma by percutaneous drill resection under CT scanning control. Fr J Orthop Surg 4: 251–255
Dahlin DC, Krishnan KU (1988) Osteoid osteoma. In: Bone tumors: general aspects and data on 8542 cases, Thomas, Springfield, pp 102–118
Golding JSR (1954) The natural history of osteroid osteoma. With report of 20 cases. J Bone Joint Surg [Br] 36: 219–229
Healey JH, Ghelman B (1986) Osteoid osteoma and osteoblastoma. Current concept and recent advances. Clin Orthop 204: 77–85
Worland RL, Ryder CT, Johnson AD (1975) Recurrent osteoid osteoma: report of a case. J Bone Joint Surg [Am] 57: 277–278
Regan MW, Galey JP, Oakeshott RD (1990) Recurrent osteoid osteoma: case report with a ten years asymptomatic interval. Clin Orthop 253: 221–224
Alaya AG, Murray JA, Erling MA (1988) Osteoid osteoma: intra-operative tetracycline-fluorescence demonstration of the nidus. J Bone Joint Surg [Am] 68: 747–751
O'Brien TM, Murray TE, Malone LA, Dervan P, Walsh M, McMannus F, Ennis JT (1984) Osteoid osteoma excision with scintimetric guidance. Radiology 153: 543–544
Colton CL, Hardy JG (1983) Evaluation of a sterilizable radiation probe as an aid to the surgical treatment of osteoid osteoma. J Bone Joint Surg [Am] 65: 1019–1022
Steinberg GG, Coumas JM, Breen T (1990) Preoperative localisation of osteoid osteoma: a new technic that uses CT. AJR 155: 883–885
Mazoyer JF, Kohler R, Bossard D (1991) Osteoid osteoma: CT-guided percutaneous treatment. Radiology 181: 269–271
Rosenthal DI, Alexander A, Rosenberg AE, Springfield D (1992) Ablation of osteoid osteoma with a percutaneously placed electrode: a new procedure. Radiology 183: 29–33
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Baunin, C., Puget, C., Assoun, J. et al. Percutaneous resection of osteoid osteoma under CT guidance in eight children. Pediatr Radiol 24, 185–188 (1994). https://doi.org/10.1007/BF02012187
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DOI: https://doi.org/10.1007/BF02012187