Osteoid osteoma: fluoroscopic guided percutaneous excision technique - our experience

Area of Science:

• Pediatric Surgery
• Orthopedic Oncology
• Minimally Invasive Procedures

Background:

• Osteoid osteoma is a benign bone lesion typically affecting children and young adults.
• Traditional treatments involve open surgical excision, which can be invasive.
• Minimally invasive techniques like percutaneous ablation are emerging as alternatives.

Purpose of the Study:

• To present the 5-year experience with osteoid osteoma treatment at a pediatric surgery clinic.
• To describe modifications to percutaneous techniques for osteoid osteoma.
• To evaluate the outcomes of these modified minimally invasive procedures.

Main Methods:

• Review of cases treated over the last 5 years.
• Implementation of modified fluoroscopic-guided percutaneous extirpation and drilling resection.
• Focus on computed tomography-guided core-drill excision and thermocoagulation.

Main Results:

• Modified percutaneous techniques demonstrated an excellent cost-benefit ratio.
• Shorter periods of hospitalization were observed.
• Faster patient recovery was achieved compared to traditional methods.

Conclusions:

• Modified percutaneous techniques are effective for treating osteoid osteoma in pediatric patients.
• These minimally invasive approaches offer significant advantages in terms of recovery and cost-effectiveness.
• Further research into technique optimization is warranted.