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Paper Information

Journal:   JOURNAL OF MEDICAL COUNCIL OF I.R.I.   FALL 2007 , Volume 25 , Number 3; Page(s) 309 To 316.
 
Paper: 

OSTEOID OSTEOMA IN SPINE

 
 
Author(s):  GANJAVIAN M.S., AMERI E., MOBINI B., BEHTASH H.*, VAHID TARI S.H., NOJOMI M., AKBARNIA B.
 
* SHAFA HOSPITAL, MOJAHEDIN-E-ESLAM AVE., TEHRAN, IRAN
 
Abstract: 

Background: Osteoid osteoma is a benign tumor that occurs in the spine in 10-20% of cases. Tumor presents with pain and/or deformity and usually causes torticoli in the cervical spine, and C-shape painful scoliosis is the most common presentation in the thoracic and lumbar spine.
Methods: We studied 19 patients with established osteoid osteoma of the spine and reviewed their symptoms, site of involvement, imaging and treatment options. We also followed patients to determine the recurrence of tumor and outcome of deformity after tumor excision.
Findings: Painful torticoli was the most common presentation of osteoid osteoma in the cervical spine (75%). In thoracic and lumbar lesions, painful scoliosis was the most common presentation (80%) but the tumor can be a painful condition in spine or even only a deformity. Typical night pain was seen in 9 patients. Tumor excision was the curative treatment although 3 patients needed posterior fusion because of scoliosis curve progression after tumor excision.
Conclusion: Pain is the most common presentation of osteoid osteoma in spine and is often accompanied by deformity. Whole. body isotope bone scan and CT scan can help in making the diagnosis. In patientswithcurveCobbanglemorethan40 degreesatI the time of tumor excision, posterior spinal fusion is required.

 
Keyword(s): OSTEOID OSTEOMA, SPINE, PAINFUL SCOLIOSIS, PAINFUL TORTICOLI
 
References: 
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