CASE REPORT


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



Giuseppe Mariniello1, *
iD
, Serena Pagano1
iD
, Giuseppe Teodonno1
iD
, Camilla Russo2
iD
, Giuseppe Pontillo2
iD
, Martina Di Stasi2
iD
, Michele Klain2
iD
, Gianfranco Puoti3
iD
, Andrea Elefante2
iD

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


© 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.