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Spinal osteoid osteoma: efficacy and safety of radiofrequency ablation

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Abstract

Objective

The aim of this study was to evaluate the efficacy and complications of CT-guided radiofrequency ablation (RFA) of spinal osteoid osteoma (OO).

Materials and methods

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.

Results

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).

Conclusion

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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Authors and Affiliations

  1. Department of Diagnostic and Interventional Radiology, “Rizzoli” Orthopaedic Institute, Via G. C. Pupilli 1, 40136, Bologna, Italy

    Ugo Albisinni, Giancarlo Facchini, Paolo Spinnato & Alberto Bazzocchi

  2. Department of Oncologic and Degenerative Spine Surgery, “Rizzoli” Orthopaedic Institute, Via G. C. Pupilli 1, 40136, Bologna, Italy

    Alessandro Gasbarrini

Authors
  1. Ugo Albisinni
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  2. Giancarlo Facchini
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  3. Paolo Spinnato
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  4. Alessandro Gasbarrini
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  5. Alberto Bazzocchi
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Corresponding author

Correspondence to Alberto Bazzocchi.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Conflicts of interest

The authors declare that they have no conflicts of interest.

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Albisinni, U., Facchini, G., Spinnato, P. et al. Spinal osteoid osteoma: efficacy and safety of radiofrequency ablation. Skeletal Radiol 46, 1087–1094 (2017). https://doi.org/10.1007/s00256-017-2662-1

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  • DOI: https://doi.org/10.1007/s00256-017-2662-1

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