Radiofrequency thermoablation of primary non-spinal osteoid osteoma: optimization of the procedure View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2005-03-09

AUTHORS

E. Rimondi, Giuseppe Bianchi, M. C. Malaguti, R. Ciminari, A. Del Baldo, M. Mercuri, U. Albisinni

ABSTRACT

Osteoid osteoma is a small benign tumor that requires treatment due to the intense pain it causes. Surgical therapy has been the ablative technique of choice after a failure of medical therapy. Recently, numerous less invasive, alternative procedures have been proposed: drill trepanation with or without ethanol injections, cryoablation, and thermoablation with laser or radiofrequency. The aim of this review is to retrospectively assess the effect of radiofrequency (RF) thermoablation in the treatment of primary non-spinal osteoid osteoma. From June 2001 to July 2003, we treated 106 patients affected by osteoid osteoma with RF thermoablation. Five patients with spinal osteoid osteoma and four with a previously treated osteoma were excluded from the study. In this paper, we assess the results obtained in a selected group of 97 primary non-spinal osteoid osteoma. The lesions were predominantly in the metaphysics of the femur. Central nidus calcifications were frequent and there was no prevalence for which side they occurred. Primary success was achieved in 82 patients (85%), while we obtained secondary success in 15 patients (15%). In two patients (2%), pain persisted between the two treatments and failed to be resolved, even after the second treatment; therefore, surgical excision was performed and complete resolution was obtained. No complications were reported. In conclusion, our results confirm that the treatment of choice for non-spinal osteoid osteoma is RF thermoablation, offering several advantages over ablative techniques. More... »

PAGES

1393-1399

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00330-004-2616-6

DOI

http://dx.doi.org/10.1007/s00330-004-2616-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1011186226

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/15756555


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