Computed tomography guided laser ablation of osteoid osteoma: a study of 30 cases

Manohar Baburao Kachare; Sanjay B. Kulkarni; Satish A. Patil

doi:10.18203/2320-6012.ijrms20163810

Authors

Manohar Baburao Kachare Department of Radiodiagnosis, Bharati Vidyapeeth Medical College and Hospital, Sangli, Maharashtra, India
Sanjay B. Kulkarni Department of Surgery, Vishrambag Hospital, Sangli, Maharashtra, India
Satish A. Patil Department of Orthopedics, PIOS Hospital, Jaysingpur, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20163810

Keywords:

CT, Laser photocoagulation, Osteoid osteoma

Abstract

Background: Osteoid osteoma (OO) is a benign but painful bone lesion that primarily occurs in children and young adults 1. Male:Female ratio is 3:1. The aim of the study was to present our experience of CT guided LASER ablation of radiologicaly proven Osteoid osteomas in the various bones.

Methods: Over the period of 5 years 30 cases of osteoid osteomas in various bones diagnosed on various modalities were treated by CT guided LASER ablation. Bone wise distribution of cases was spine (3), upper end of femur (11), lower end of femur (6), upper end of tibia (4), upper end of humerus (3), lower end of radius (2) and calcaneum (1). 22 patients were treated under spinal and regional anesthesia and 8 patients were treated under short general anesthesia. All the patients were treated on day care basis. The LASER fiber was inserted in the nidus under CT guidance through bone biopsy needle and 1800 joules energy delivered in the lesion continuous mode.

Results: 29 (96%) patients have complete relief of pain in twenty-four hours after LASER ablation, One week after treatment all 30 patients were pain free. No neurologic complication was observed in any of our patients with spinal osteoid osteomas.

Conclusions: CT guided LASER ablation is a safe, simple and effective method of treatment for osteoid osteoma.

Metrics

Metrics Loading ...

References

Black JA, Levick RK, Sharrard WJ. Osteoid osteoma and benign osteoblastoma in childhood. Arch Dis Child. 1979;54(6):459-65.

Kiers L, Shield LK, Cole WG. Neurological manifestations of osteoid osteoma. Arch Dis Child. 1990;65(8):851-5.

Campanacci M, Ruggieri P, Gasbarrini A, Ferraro A, Campanacci L. Osteoid osteoma. Direct visual identification and interlesional excision of the nidus with minimal removal of bone. J Bone Joint Surg Br. 1999;81(5):814-20.

Kransdorf MJ, Stull MA, Gilkey FW, Moser RP. Osteoid osteoma, RadioGraphics 1991;11:671-96.

Papathanassiou ZG, Megas P, Petsas T, Papachristou DJ, Nilas J, Siablis D. Osteoid osteoma: diagnosis and treatment. Orthopedics. 2008;31:1118 -27.

Gangi A, Alizadeh H, Wong L, Buy X, DietemannJL, Roy C. (2007) Osteoid osteoma: percutaneous laser ablation and follow-up in 114 patients. Radiology. 2007;242:293-301.

Iyer RS, Chapman T, Chew FS. Pediatric Bone Imaging: Diagnostic Imaging of Osteoid Osteoma. Am J Roentgenology. 2012;198:1039-52.

Assoun J, De-Haldat F, Richardi G, Billey T, Dromer C, Fournié B, et al. (1993) Magnetic resonance imaging in osteoid osteoma. Rev Rhum Ed Fr. 1993;60(1):28-36.

Assoun J, Richardi G, Reilhac JJ, Baunin C, Fajadet P, Giron J, et al. (1994) Osteoid osteoma: MR imaging versus CT. Radiology. 1994;191(1):217-23.

Thompson GH, Wong KM, Richard K, Vibhakar S. Magnetic resonance imaging of an osteoid osteoma of the proximal femur: a potentially confusing appearance. J Pediatr Orthop. 1990;10:800-4.

Etienne A, Waynberger E, Druon J. Interstitial laser photocoagulation for the treatment of osteoid osteoma: Retrospective study on 35 cases Diagnostic and Interventional Imaging. Volume 94, Issue 3, Pages 300-310

Gangi A, Dietemann J, Guth S. Percutaneous Laser Photocoagulation of SpinalOsteoid Osteomas under CT Guidance. Am J Neuroradiol. 1998;19:1955-8.

Firouznia K, Ghanaati H, Hashemi H, Ahmadinezhad N, Soroush H, Shakiba M. Percutaneous laser photocoagulation of osteoid osteoma: Assessment of treatment in nine cases, Iran J Radiat Res. 2004;2(1):1-6.

Healey JH, Ghelman B. Osteoid osteoma and osteoblastoma. Current concept and recent advances. Clin Orthop. 1986;204:76-85.

Wang NH, Ma HL, Lo WH, Yang DJ. Osteoid osteoma: clinical and investigative features. J Formos Med Assoc. 1990;89(5):366-72.

Gangi A, Alizadeh H, Wong L, Buy X, DietemannJL, Roy C. Osteoid osteoma: percutaneous laser ablation and follow-up in 114 patients. Radiology. 2007;242:293-301.

Gangi A, Gasser B, De Unamuno S, Fogrrassy E, Fuchs C, Siffert P, Dietemann JL, Roy C. (1997) New Trends in Interstial Laser Photocoagulation of Bones. Semin Musculoskelet Radiol. 1997;1:331-8.