Erschienen in:
01.03.2009 | Interventional
Percutaneous treatment of osteoid osteoma by laser thermocoagulation under computed tomography guidance in pediatric patients
verfasst von:
A. Aschero, G. Gorincour, Y. Glard, C. Desvignes, M. Paris, B. Bourlière-Najean, G. Bollini, P. Petit
Erschienen in:
European Radiology
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Ausgabe 3/2009
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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.