Surgical treatment for osteoid osteoma --- experience in both conventional open excision and CT-guided mini-incision surgery

Journal of the Chinese Medical Association : JCMA
Wen-Ta YangTain-Hsiung Chen

Abstract

Conventional open excision, or en bloc excision, was the standard treatment for osteoid osteoma until the development of percutaneous treatment for this tumor in the early 1990s. Most percutaneous treatments were performed under the guidance of computed tomography (CT), which could clearly demonstrate the exact location of the tumor and minimize bone destruction or resection. In order to minimize bone resection without adding to the costs of these new percutaneous instruments, we modified the percutaneous technique into a CT-guided mini-incision surgery. The patients treated with this technique were compared with those treated by conventional open excision. We retrospectively reviewed the medical charts of patients with osteoid osteoma treated between 1990 and 2004. The patients diagnosed before 2000 were all treated with conventional open excision. After 2000, some of them were treated with CT-guided mini-incision surgery. Follow-up was done either by phone or on an outpatient basis. There were 23 patients with osteoid osteoma who were treated surgically between 1990 and 2004, of whom 20 were treated with conventional open excision. Six patients were treated with CT-guided mini-incision surgery, including 3 primary cases and 3...Continue Reading

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Citations

Apr 23, 2013·Revista española de medicina nuclear e imagen molecular·S IsgorenO Selek
Nov 18, 2015·International Orthopaedics·Celil AlemdarAhmet Kapukaya
Nov 11, 2016·Journal of Pediatric Orthopedics. Part B·Muayad KadhimJohn P Dormans
Oct 19, 2012·Indian Journal of Dermatology, Venereology and Leprology·Amrinder J Kanwar, Keshavamurthy Vinay

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