CASE REPORT


Minimally Invasive Percutaneous Treatment for Osteoid Osteoma of The Spine. A Case Report



Giuseppe Mariniello1, *
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, Serena Pagano1
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, Giuseppe Teodonno1
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, Camilla Russo2
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, Giuseppe Pontillo2
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, Martina Di Stasi2
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, Michele Klain2
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, Gianfranco Puoti3
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, Andrea Elefante2
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1 Department of Neurosciences and Reproductive and Odontostomatological Sciences, Neurosurgical Clinic, School of Medicine, University “Federico II”, Naples, Italy
2 Department of Advanced Biomedical Sciences, University of Naples “Federico II”, Naples, Italy
3 Department of Advanced Medical and Surgical Sciences, University of Campania “Luigi Vanvitelli”, Caserta, Italy


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Creative Commons License
© 2020 Mariniello et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Neuroscience and Reproductive and Odontostomatological Sciences, Neurosurgical Clinic, School of Medicine, University “Federico II”, Naples, Italy; Tel:+39 81 7462584, E-mail: giumarin@unina.it


Abstract

Osteoid osteomas are benign but painful bone-forming tumors usually involving long bones, with localization at the spine in 10-20% of the cases. The most common symptom is back pain responding to nonsteroidal anti-inflammatory drugs, but in some cases, also radicular pain can be present. For years, surgical excision has been considered the best choice of treatment for cases with unresponsive pain and has been practiced with a high percentage of success but also a high rate of fusion with instrumentation. In the last years, percutaneous radiofrequency ablation has been proposed as a new mini-invasive technique for the treatment of osteoid osteomas.

Keywords: Osteoid osteoma, Spine, Radiofrequency ablation, Mini-invasive technique, Back pain, Percutaneous treatment.