Percutaneous treatment of osteoid osteoma by laser thermocoagulation under computed tomography guidance in pediatric patients

Eur Radiol. 2009 Mar;19(3):679-86. doi: 10.1007/s00330-008-1173-9. Epub 2008 Oct 7.

Abstract

To evaluate the efficiency of laser thermocoagulation under computed tomography (CT) guidance in the treatment of osteoid osteoma within a strictly pediatric group. Twenty-five patients aged 4 to 17 years were treated under CT by laser thermocoagulation. The nidus measured on average 10.1 mm. Pain relief was the main item for evaluation of the effectiveness of our treatment. Follow-up ranged from 3 months to 61 months (mean, 26 months). Technical success was achieved in 100%. Thermocoagulation proved to be initially effective in 24 of 25 children (96%) and had a positive long-term effect in 23 of 25 children (92%). We had four minor complications and one severe complication (partial osteonecrosis of the talus). Laser thermocoagualation is an effective treatment for osteoid osteoma in pediatric patients.

MeSH terms

  • Adolescent
  • Bone Neoplasms / therapy*
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Laser Coagulation / methods*
  • Male
  • Osteoma, Osteoid / therapy*
  • Pain
  • Prospective Studies
  • Radiography, Interventional / methods
  • Tomography, X-Ray Computed / methods*
  • Treatment Outcome