Owen Joseph W, Bridwell Keith H, Gilula Louis A
Mallinckrodt Institute of Radiology, Washington University School of Medicine, Saint Louis, MO.
Am J Orthop (Belle Mead NJ). 2014 Jun;43(6):E124-8.
Radiofrequency ablation (RFA) has become an accepted first-line treatment for osteoid osteomas. Ablation of spinal osteoid osteomas has presented a particular challenge because of their proximity to delicate neural structures. Although many case series have reported multiple successfully treated spinal osteoid osteomas, there are no reports of thermal injury or insufficiency fracture associated with RFA of spinal osteoid osteomas. We report the management of complications that result from treating a spinal osteoid osteoma within a pedicle.
射频消融（RFA）已成为骨样骨瘤公认的一线治疗方法。由于脊柱骨样骨瘤靠近脆弱的神经结构，对其进行消融具有特殊的挑战性。尽管许多病例系列报道了多个成功治疗的脊柱骨样骨瘤，但尚无关于脊柱骨样骨瘤RFA相关热损伤或不全骨折的报道。我们报告了在椎弓根内治疗脊柱骨样骨瘤所导致并发症的处理情况。
