Document Detail

Management of osteoblastoma and osteoid osteoma of the spine in childhood.
MedLine Citation:
PMID:  19877775     Owner:  NLM     Status:  MEDLINE    
OBJECT: Osteoid osteomas and osteoblastoma of the spine are rare lesions in childhood, and management strategies have changed. The authors reviewed their recent experience with these 2 types of lesions to elucidate current treatment modalities and outcomes. METHODS: Case records and radiographic images from all cases of osteoid osteoma and osteoblastoma diagnosed between 1993 and 2008 were retrospectively reviewed, including those managed nonsurgically. RESULTS: Thirty cases were identified; 22 were treated surgically and 8 were managed nonsurgically. The patients' mean age at presentation was 13 years (range 3-17 years). Of 30 patients, 29 (97%) presented with pain; 7 (23%) had scoliosis at presentation; 12 (40%) experienced relief with nonsteroidal antiinflammatory medication. Osteoid osteoma was diagnosed in 7 (32%) of the 22 patients who underwent surgery, and osteoblastoma in 15 (68%). Nine (41%) of the 22 surgically treated patients underwent fusion procedures (bone onlay or instrumentation) at the time of surgery. Pain freedom without medication had been achieved in 16 (73%) of the 22 surgically treated patients at a mean follow-up of 28 months (range 2-75 months) and was confirmed in 3 (38%) of the 8 nonsurgically treated patients at a mean follow-up of 33 months (range 24-51 months). CONCLUSIONS: Osteoid osteomas and osteoblastomas can present challenging management problems in pediatric patients. In the majority of cases in which conservative therapy fails or pathological diagnosis is required, surgery using modern intraoperative imaging and spinal instrumentation can provide symptom relief and tumor control.
Sasha C Burn; Olaf Ansorge; Reinhard Zeller; James M Drake
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgery. Pediatrics     Volume:  4     ISSN:  1933-0715     ISO Abbreviation:  -     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-11-02     Completed Date:  2009-11-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101463759     Medline TA:  J Neurosurg Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  434-8     Citation Subset:  IM    
Division of Neurosurgery, The Hospital for Sick Children, Toronto, Ontario, Canada.
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MeSH Terms
Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
Child, Preschool
Magnetic Resonance Imaging
Osteoblastoma / radiography,  surgery,  therapy*
Osteoma, Osteoid / radiography,  surgery,  therapy*
Pain / epidemiology,  etiology
Postoperative Complications / epidemiology
Retrospective Studies
Scoliosis / etiology
Spinal Fusion
Spinal Neoplasms / radiography,  surgery,  therapy*
Tomography, X-Ray Computed
Treatment Outcome
Reg. No./Substance:
0/Anti-Inflammatory Agents, Non-Steroidal

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