High-frequency radio-wave ablation of osteoid osteoma in the lumbar spine

被引：63

作者：

Osti O.L. ^{[1
,3
]}

Sebben R. ^{[2
]}

机构：

[1] Spinal Service, N. Western Adelaide Health Services, SA

[2] Department of Radiology, N. Western Adelaide Health Services, SA

[3] Orthopaedic and Spinal Surgery, Harley Chambers, 63 Palmer Place, North Adelaide

来源：

European Spine Journal | 1998年 / 7卷 / 5期

关键词：

Back pain; Denervation; Osteoid osteoma; Percutaneous biopsy; Radio frequency;

D O I：

10.1007/s005860050101

中图分类号：

学科分类号：

摘要：

The authors report on the first known application in the spine of percutaneous ablation of osteoid osteoma using radio-frequency waves. The technique involves a CT-guided biopsy of the lesion followed by introduction of a 1-mm probe connected to a radio-frequency lesion generator. The procedure was performed on an outpatient basis and the patient experienced immediate relief of his symptoms. No evidence of recurrence was demonstrated 16 months later. The technique described may become the procedure of choice in the surgical treatment of osteoid osteoma, as it minimises surgical trauma and post-operative pain. Longer follow-ups are required to monitor the incidence of recurrence.

引用

页码：422 / 425

页数：3

共 22 条

[1]

Capanna, R., Boriani, S., Mabit, Ch., Donati, D., Savini, R., Osteoid osteomas of the spine. Experience of the Rizzoli Institute (1991) Rev Chir Orthop, 77, pp. 545-550

[2]

Cohen, M.D., Harrington, T.M., Ginsburg, W.W., Osteoid osteoma: 95 cases and review of literature (1983) Semin Arthritis Rheum, 12, pp. 265-281

[3]

Colton, C.L., Hardy, J.G., Evaluation of a sterilizable radiation probe as an aid to the surgical treatment of osteoid osteoma (1983) J Bone Joint Surg, 65, pp. 1019-1022. , Am

[4]

Deberg, J.L., Pattynama, P.M.T., Obermann, W.R., Bode, P.J., Jan Vielvoye, G., Taminau, A.H.M., Percutaneous computed thermocoagulation for osteoid osteomas (1995) Lancet, 346, pp. 350-351

[5]

Golding, J.S.R., The natural history of osteoid osteoma, with a report of twenty cases (1954) J Bone Joint Surg, 36, pp. 218-229. , Br

[6]

Healey, J.H., Ghelman, B., Osteoid osteoma and osteoblastoma, current concepts and recent advances (1986) Clin Orthop, 204, pp. 76-85

[7]

Houpt, T.C., Experimental study of temperature distributions and thermal transport during radiofrequeney current therapy of the intervertebral disc (1996) Spine, 21, p. 1808

[8]

Jaffe, H.L., Osteoid osteoma, a benign osteoblastic tumor composed of osteoid and atypical bone (1935) Arch Surg, 31, pp. 709-728

[9]

Kirwan, O.O'G., Mutton, P.A.N., Pozo, J.L., Ransford, A.O., Osteoid osteoma and benign osteoblastoma of the spine, clinical presentation and treatment (1984) J Bone Joint Surg, 66, pp. 21-26. , Br

[10]

Kneisl, J.S., Simon, M.A., Medical management compared with operative treatment for osteoid osteoma (1992) J Bone Joint Surg, 74, pp. 179-185. , Am

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