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

Abstract:

BACKGROUND:Osteoid osteoma is a painful, benign, small osteogenic bone tumor. For a long time, surgery was the only treatment for these lesions. Different minimally invasive therapeutic techniques have been proposed. We report our experience in the treatment of osteoid osteoma by CT-guided drilling resection in pediatric patients. OBJECTIVE:To evaluate the efficacy of CT-guided percutaneous drilling resection as a minimally invasive therapy for osteoid osteoma in children. MATERIALS AND METHODS:Over a 5-year period, 18 patients (age range 6-17 years, mean age 11.6 years) with osteoid osteomas (femur, n=10; tibia, n=5; humerus, n=2; vertebral body, n=1) were treated with this technique. All procedures were performed under general anesthesia. RESULTS:All procedures were technically successful. Clinical success was achieved in 94.5% of patients (17/18). Only one patient had recurrence of symptoms 8 months after percutaneous resection and was surgically retreated. There were no complications. CONCLUSION:CT-guided percutaneous drilling resection is a safe, simple and effective minimally invasive technique for the treatment of osteoid osteoma in pediatric patients.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

Sierre S,Innocenti S,Lipsich J,Lanfranchi L,Questa H,Moguillansky S

doi

10.1007/s00247-005-0032-y

keywords:

subject

Has Abstract

pub_date

2006-02-01 00:00:00

pages

115-8

issue

2

eissn

0301-0449

issn

1432-1998

journal_volume

36

pub_type

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