Abstract

ROBLES, Diogo Santos et al. Osteoma Osteóide Cervical: Radiofrequência ou a Clássica Curetagem?. Rev. Port. Ortop. Traum. [online]. 2015, vol.23, n.3, pp.265-271. ISSN 1646-2122.

Osteoid osteomas are benign, osteoblastic, with an estimated incidence 3% of all tumors. They occur most often in the femur or tibia, with the axial skeleton being affected in 10% of cases, mainly at the lumbar spine level (56.1%) with the cervical spine being affected in only 26.8% of cases. The traditional surgical treatment is losing ground to mini-invasive ablative techniques such as percutaneous radiofrequency thermal ablation. However, in the cervical spine, it is difficult to predict the effect of heat when applied near nerve and vascular structures. The authors present a case report of a 24 year old female patient, with persistent neck pain, whose CT scan showed an osteoid osteoma located within the left pedicle of the 6th cervical vertebra. The patient underwent surgical treatment by transpedicular curettage guided by fluoroscopy, by with it was possible to obtain immediate, complete and sustained pain resolution.

Keywords : Osteoma Osteoid; Cervical spine; radiofrequency ablation; curettage.

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