Diagnostic and Management Options of Osteoblastoma in the Spine

Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
Minhao WuLin Cai

Abstract

BACKGROUND Osteoblastoma is a rare, benign, osteolytic neoplasm commonly found in the spine in early adulthood. Here, we review the clinical characteristics, radiographic findings, and surgical management of patients with spinal osteoblastoma. MATERIAL AND METHODS Thirteen patients with osteoblastoma who underwent surgery at our institute from June 2008 to November 2017 were enrolled in this study. The American Spinal Injury Association (ASIA) impairment scale was used to assess neurological function. All patients were treated with either total excision or intralesional piecemeal excision without postoperative radiotherapy. Clinical efficacy was evaluated by visual analog scale (VAS) scores, the Oswestry Disability Index (ODI) of nerve function, physical and radiographic examinations, bone fusion, and neurologic status. RESULTS The follow-up lasted 23-82 months (average, 43.8 months). The average surgical time was 178.1 minutes (range, 100-230 minutes), with an average intraoperative blood loss of 574 mL (range, 230-1100 mL). Postoperatively, VAS scores decreased from 6.2±1.7 to 0.5±0.7 (P<0.001). The preoperative and final ODI scores were 51.1±7.7 and 22.6±4.9, respectively, reflecting a significant decrease (P<0.001). Accordi...Continue Reading

Citations

Jun 9, 2020·Operative Neurosurgery·Tristan Brunette-ClémentAlexander G Weil
Jun 5, 2021·Clinical Case Reports·Sabine DanzingerChristian F Singer
May 20, 2021·Radiology Case Reports·Lu ChenZhi-Zhen Gao
Jul 3, 2021·Journal of Clinical Medicine·Jignesh ShahSaurabh Gupta

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Methods Mentioned

BETA
biopsy
surgical resection
total resection

Software Mentioned

SPSS

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