Spinal osteoid osteoma: efficacy and safety of radiofrequency ablation

Skeletal Radiology
Ugo AlbisinniAlberto Bazzocchi

Abstract

The aim of this study was to evaluate the efficacy and complications of CT-guided radiofrequency ablation (RFA) of spinal osteoid osteoma (OO). Between 2002 and 2012, a total of 61 patients (46 male and 15 female, mean age 26.4 ± 12.7 years) were subjected to RFA for spinal OO. The diagnosis of OO was made after a period of pain and symptoms of 20.6 ± 14.4 months. RFA was performed under conscious sedation and local analgesia. Clinical symptoms were evaluated at 3, 6, and12 months, and at the end of the time of the present investigation. Mean follow-up was 41.5 ± 7.1 months. The primary efficacy of RFA, complete regression of symptoms, was obtained in 57 out of 61 patients (93.4%). Four out of 61 (6.5%) patients showed a relapse of OO (after 3 months); 2 out of 4 were subjected to a second RFA, the remaining ones were subjected to surgery. There was one complication (case of lower limb paresthesia for 30 days after the ablation) and one possible complication (a disc herniation). CT-guided RFA is an excellent treatment for spinal OO. Our data suggest that this procedure should be considered for the first stage of therapy for this disease.

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Citations

Aug 8, 2018·AJR. American Journal of Roentgenology·Anderanik Tomasian, Jack W Jennings
Oct 27, 2018·AJNR. American Journal of Neuroradiology·A Tomasian, J W Jennings
Jun 11, 2020·European Radiology·Mickael TordjmanChristopher Burke
Apr 10, 2020·Skeletal Radiology·Will S LindquesterC Matthew Hawkins
Mar 13, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·D FilippiadisA Kelekis
Jun 28, 2020·Techniques in Vascular and Interventional Radiology·Ahmad ParvinianAnil N Kurup
Apr 12, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Anna ParmeggianiGiancarlo Facchini

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