Τίτλος:
Percutaneous radiofrequency ablation of Spinal Osteoid osteoma under CT guidance
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Objective: Osteoid osteoma (OO) accounts for approximately 10-12% of all benign bone tumours and 3% of all bone tumours. Spinal involvement appears in 10-25% of all cases. The purpose of this study was to evaluate the safety and efficacy of CT-guided radiofrequency (RF) ablation in the treatment of spinal OOs and report our experience.
Results: All procedures were considered technically successful as the correct positioning of the probe was proven by CT. 11 of the 13 patients reported pain relief after RF ablation. In two cases, RF ablation was repeated 1 month after the first procedure. Pain relief was achieved in both cases after the second procedure. No recurrence was reported throughout the follow-up. No complications like skin burn, soft-tissue haematoma, infection, vessel damage or neurological deficit were reported.
Methods: 13 patients suffering from spinal OO and treated at the authors' institution using CT-guided RF ablation were retrospectively evaluated. The RF probe was introduced through a 11-G Jamshidi® needle, and the lesion was heated at 90°C for 6min.
Conclusion: This study demonstrates that CT-guided percutaneous RF ablation is a safe and effective method for the treatment of spinal OOs.
Advances in knowledge: The data of this study support the efficacy and safety of the recently applied CT-guided percutaneous RF ablation technique for the treatment of spinal OOs. © 2014 The Authors.
Συγγραφείς:
Morassi, L.G.
Kokkinis, K.
Evangelopoulos, D.S.
Karargyris, O.
Vlachou, I.
Kalokairinou, K.
Pneumaticos, S.G.
Περιοδικό:
The British Journal of Radiology
Εκδότης:
British Institute of Radiology
Λέξεις-κλειδιά:
antibiotic agent; iopromide; paracetamol, adolescent; adult; Article; brace; cancer surgery; cervical spine; child; clinical article; clinical effectiveness; computer assisted tomography; female; follow up; heating; histopathology; human; human tissue; lumbar spine; male; needle biopsy; needle electrode; osteoid osteoma; outcome assessment; patient safety; percutaneous radiofrequency ablation; postoperative analgesia; radicular pain; radiofrequency ablation; radiofrequency ablation device; radiofrequency ablation probe; retreatment; retrospective study; sacral spinal cord; school child; scoliosis; single drug dose; spinal cord tumor; spinal needle; thoracic spine; torticollis; tumor localization; young adult; catheter ablation; computer assisted tomography; evaluation study; interventional radiology; Osteoma, Osteoid; pain measurement; patient positioning; procedures; radiography; Spinal Neoplasms; treatment outcome; tumor recurrence, Adolescent; Adult; Catheter Ablation; Child; Female; Humans; Male; Neoplasm Recurrence, Local; Osteoma, Osteoid; Pain Measurement; Patient Positioning; Radiography, Interventional; Retrospective Studies; Spinal Neoplasms; Tomography, X-Ray Computed; Treatment Outcome
DOI:
10.1259/bjr.20140003