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Percutaneous treatment of osteoid osteoma by CT-guided drilling resection in pediatric patients

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Abstract

Background: Osteoid osteoma is a painful, benign, small osteogenic bone tumor. For a long time, surgery was the only treatment for these lesions. Different minimally invasive therapeutic techniques have been proposed. We report our experience in the treatment of osteoid osteoma by CT-guided drilling resection in pediatric patients. Objective: To evaluate the efficacy of CT-guided percutaneous drilling resection as a minimally invasive therapy for osteoid osteoma in children. Materials and methods: Over a 5-year period, 18 patients (age range 6–17 years, mean age 11.6 years) with osteoid osteomas (femur, n=10; tibia, n=5; humerus, n=2; vertebral body, n=1) were treated with this technique. All procedures were performed under general anesthesia. Results: All procedures were technically successful. Clinical success was achieved in 94.5% of patients (17/18). Only one patient had recurrence of symptoms 8 months after percutaneous resection and was surgically retreated. There were no complications. Conclusion: CT-guided percutaneous drilling resection is a safe, simple and effective minimally invasive technique for the treatment of osteoid osteoma in pediatric patients.

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Authors and Affiliations

  1. Department of Interventional Radiology, Hospital Nacional de Pediatria Prof. Dr. J. P. Garrahan, Pichincha 1850 (1245), Buenos Aires, Argentina

    Sergio Sierre, Jose Lipsich, Horacio Questa & Silvia Moguillansky

  2. Department of Orthopedics, Hospital Nacional de Pediatria Prof. Dr. J. P. Garrahan, Buenos Aires, Argentina

    Sergio Innocenti & Lucas Lanfranchi

Authors
  1. Sergio Sierre
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  2. Sergio Innocenti
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  3. Jose Lipsich
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  4. Lucas Lanfranchi
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  5. Horacio Questa
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  6. Silvia Moguillansky
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Correspondence to Sergio Sierre.

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Sierre, S., Innocenti, S., Lipsich, J. et al. Percutaneous treatment of osteoid osteoma by CT-guided drilling resection in pediatric patients. Pediatr Radiol 36, 115–118 (2006). https://doi.org/10.1007/s00247-005-0032-y

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  • DOI: https://doi.org/10.1007/s00247-005-0032-y

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