Table 3.
Case series of different treatment choices for osteoid osteoma*
| Study | Procedure | Number of patients | Location† | Followup (months)‡ | Success rate (%) (first attempt) | Complications |
|---|---|---|---|---|---|---|
| Sluga et al. [36] (2002) | Surgery (curettage) | 81 | Limbs | 156 (24–444) | 88 | 20% minor, 3% fracture, 35% minor and major |
| Sluga et al. [36] (2002) | Surgery (en bloc resection) | 25 | Limbs | 156 (24–444) | 95.5 | 32% minor, 4.5% fracture, 45.5% minor and major |
| Yildiz et al. [44] (2001) | Surgery (curettage) | 80 | Mixed | 30 (12–96) | 95 | NS |
| Yildiz et al. [44] (2001) | Surgery (wide resection and bone graft) | 24 | Limbs | 30 (12–96) | 95 | NS |
| Campanacci et al. [7] (1999) | Surgery (curettage by hand) | 89 | Mixed | 72 (12–180) | 100 | 0 |
| Ward et al. [41] (1993) | Surgery (curettage with burr) | 15 | Mixed | 32.5 (6–81.6) | 100 | NS |
| Sans et al. [34] (1999) | CT-guided percutaneous resection | 38 | Mixed | 44 (12–78) | 84 | 24% overall; 2 fractures, 1 chronic osteomyelitis; 6 minor |
| Parlier-Cuau et al. [25, 26] (1998, 1997) | CT-guided percutaneous resection | 30 | Mixed | 24 (2–60) | 100 | 7% minor skin burns |
| Kohler et al. [19] (1995) | CT-guided percutaneous resection | 27 | Limbs | 24 (12–36) | 89 | 4% transient extensor hallucis palsy |
| Assoun et al. [3] (1993) | CT-guided percutaneous resection | 24 | Mixed§ | 9.8 (3–24) | 96 | 21% overall; 1 fracture, 1 iliopsoas hematoma, 1 deep venous thrombosis, 1 skin burn, 1 neurapraxia |
| Hoffmann et al. [16] (2009) | RFA | 39 | Mixed | 30.5 (1–61) | 92|| | 5% major; soft tissue infection, broken drill; 5% minor; hematoma, prolonged 2-week pain |
| Martel et al. [23] (2005) | RFA | 38 | Mixed | NS (3–48) | 97 | 5% minor; minimal skin burn, tendinitis of the bicipital tendon |
| Vanderschueren et al. [40] (2002) | RFA | 97 | Mixed | 41 (5–81) | 76 | 2% major; skin and fat necrosis, broken drill |
| Woertler et al. [43] (2001) | RFA | 47 | Mixed | 22 (8–39) | 94 | 0 |
| Lindner et al. [21] (2001) | RFA | 58 | Mixed | 23 (6–41) | 95 | 1 minor; minimal skin burn |
| Rosenthal [30] (1997) | RFA | 54 | Limbs | NS | 92.5 | 0 |
| Current study | RFA | 21 | Mixed | 26.3 (10–37) | 100 | 4% minor; minimal skin burn |
* Based on our search, some well-organized case series with higher numbers of patients for each method were included (> 10 patients for surgery and > 20 patients for other treatments); †locations addressed as mixed if lesions in the series were in limbs and axial skeleton; ‡mean followup, range in parentheses; §23 in limbs, 1 in lumbar spine; ||this percentage is among 38 patients and not including the case with the broken drill; NS = not stated; RFA = radiofrequency ablation.