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Osteoid osteoma: CT-guided percutaneous treatment
J F Mazoyer1, R Kohler, D Bossard
1Department of Radiology, Clinique Saint-Jean, Lyon, France.
Radiology
|October 1, 1991
Summary
Percutaneous destruction or drill resection using computed tomographic (CT) guidance offers a minimally invasive treatment for osteoid osteoma. This technique provides a simple alternative to open surgery, with all patients remaining asymptomatic post-procedure.
Area of Science:
- Orthopedic Surgery
- Oncology
- Radiology
Background:
- Osteoid osteoma is a benign bone tumor often causing pain.
- Traditional treatment involves open surgical resection.
- Minimally invasive techniques are sought to reduce morbidity.
Purpose of the Study:
- To evaluate the efficacy of percutaneous CT-guided techniques for osteoid osteoma treatment.
- To compare this approach with traditional open surgery.
Main Methods:
- Seven patients with presumed osteoid osteoma underwent percutaneous destruction or drill resection.
- Computed tomographic (CT) guidance was utilized throughout the procedure.
- Diagnosis was confirmed via clinical history, radiography, bone scintigraphy, and CT; histology confirmed in four patients.
Main Results:
- All seven patients were asymptomatic during 11-38 months of follow-up.
- Hospital stay was brief, ranging from 1 to 3 days.
- Histologic confirmation was obtained in 4 out of 7 patients.
Conclusions:
- Percutaneous CT-guided destruction or drill resection is a safe and effective treatment for osteoid osteoma.
- This minimally invasive approach offers a viable alternative to open surgery.
- The procedure is associated with short hospital stays and excellent patient outcomes.