PAINFUL SCOLIOSIS AND OSTEOID OSTEOMA OF THE SPINE

Özet

Objective: Osteoid osteoma (OO) is a benign tumor seen mostly in the second decades of life. Posterior elements are usually affected, and atypical scoliosis can occur in these patients. Aim of this study is to evaluate the results of surgical treatment in OO and to evaluate the fate of scoliosis. Materials and Methods: Between 2005 and 2018, online hospital database search was conducted for a diagnosis of OO in the spine. Patient records were evaluated for recurrence and called for last follow-up. Results: There were twelve patients (eight male, four female) operated due to spinal OOs, included in the study. Mean follow-up was 67.8 (13 to 139.7) months. Open surgery or radiofrequency ablation (RFA) were used for surgical treatment. Scoliosis was present in seven patients, and spontaneous correction was achieved postoperatively. Conclusion: Atypical scoliosis may be the presenting symptom in juvenile and adolescents. Patients can be successfully treated by classic open surgery, and with RFA in last decade with a low recurrence rate. If the duration of symptoms is not prolonged and structural changes not occurred at diagnosis, spontaneous correction of scoliosis is achievable after treatment of spinal OOs.