Osteoid osteoma of T2 thoracic vertebrae: A case report and literature review

  • Hoàng Gia Du Bệnh viện Bạch Mai

Main Article Content

Keywords

Osteoid osteoma, benign bone tumor, spinal tumor

Abstract

Osteoid osteoma (OO) is a benign bony tumor characterized by presence of a nidus of osteoid vascular bone with dense sclerotic bone in its periphery. Osteoid osteoma which usually localize within long bones, comprises 10% of all benign bone tumors, 1% of all spinal tumors, and infrequently located in thoracic spine. A spinal osteoid osteoma usually presents as dull back pain localized around level of lesion that is worse at night, paraspinal muscle contracture may be causing postural scoliosis. The definitive diagnosis is based on the clinical symptoms associated with CT scanner, MRI and confirmed by postoperative histopathology. There are several methods used so as to treat osteoid osteoma such as conservative management, percutaneous intervention using CT-guidance or tumor resection surgery. However, the appropriate treatments for osteoid osteoma in spine depend on particular cases. We report an osteoid osteoma in T2 vertebral spine in 17-year-old patient who underwent thoracic pedicle screw fixation with T2 laminectomy and tumor resection via a posterior approach thereby reviewing the literature on this disease.

Article Details

References

1. Boscainos PJ, Cousins GR, Kulshreshtha R, Oliver TB, Papagelopoulos PJ (2013) Osteoid osteoma. Orthopedics 36(10): 800.
2. Goyal R, Garg S, Khurjekar K, Bhatt H, Singla R (2015) Osteoid osteoma of the dorsal spine in 13-year-old boy: A case report with review of the literature. Clinical Cancer Investigation Journal 4(3): 444-446.
3. Karagoz Guzey F et al (2016) Spinal osteoid osteoma associated with soft tissue changes as a challenging diagnosis: A review of the literature shafa orthopedics. Journal 3(1): 4903.
4. XIE T, Song Y, Zeng J, Huang S (2019) Percutaneous endoscopic excision and ablation of osteoid osteoma of the lumbar spine and sacrum: A technical note and outcomes. World Neurosurgery.
5. Jee Won Chai, Sung Hwan Hong et al (2010) Radiologic diagnosis of osteoid osteoma: From simple to challenging findings. RadioGraphics Journal 30(3): 14.
6. Prod’homme M et al (2019) T1 vertebra pedicular osteoid osteoma: Minimally invasive surgical resection aided by new integrated navigation to 3D imaging device. Case Reports in Orthopedics https://doi.org/10.1155/2019/7626454.
7. Gasbarrini A, Cappuccio M et al (2011) Osteoid osteoma of the mobile spine: Surgical outcomes in 81 patients. Spine Journal 36(24): 2089-2093.
8. Kneisl JS (1992) Medical management compared with operative treatment for osteoid osteoma. J Bone Joint Surg Am 72(2): 179-185.
9. Kadhim M et al (2016) Surgical resection of osteoid osteoma and osteoblastoma of the spine. Journal of Pediatric Orthopaedics B, 2016. 00(00).
10. Rajasekaran S, Kamath Vijay, and Ajoy P Shetty (2008) Intraoperative Iso-C three-dimensional navigation in excision of spinal osteoid osteomas. Spine Journal 33(1): 25-29.