CT-guided radiofrequency ablation in the treatment of pediatric and adult osteoid osteoma: single center experience and comparative results.

IF 2.2 3区医学 Q2 ORTHOPEDICS

Skeletal Radiology Pub Date : 2025-10-11 DOI:10.1007/s00256-025-05052-8

Ismail Dilek, Mehmet Ozturk, Abdi Gurhan, Nusret Seher, Alaaddin Nayman, Bahattin Kerem Aydın

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引用次数: 0

Abstract

Objective: To report a single-center experience comparing the efficacy and safety of computed tomography (CT)-guided radiofrequency ablation (RFA) in the treatment of osteoid osteoma (OO) in pediatric and adult patients.

Materials and methods: The electronic medical records of 97 patients who underwent CT-guided RFA for OO between January 2019 and January 2025 were retrospectively reviewed. Patients were divided into pediatric and adult groups. Demographic data, anatomical location and size of the lesion, procedure duration, pre- and post-procedure visual analog scale (VAS) scores, complications, technical and clinical success rates, and recurrence rates were evaluated.

Results: Of the 97 patients, 51 (52.6%) were pediatric and 46 (47.4%) were adults. The mean lesion diameter was 7.98 ± 2.92 mm in the pediatric group and 7.14 ± 3.72 mm in the adult group. The overall technical success rate of CT-guided RFA for OO was 100%, with primary and secondary clinical success rates of 97.9% and 98.9%, respectively. The primary clinical success rate was 98.1% (50/51) in the pediatric group and 97.8% (45/46) in the adult group. No major complications related to the procedure were observed. Minor complications included transient skin burn in one pediatric patient (1.9%, 1/51) and localized muscle pain in one pediatric (1.9%, 1/51) and one adult (2.2%, 1/46) patient.

Conclusion: This study demonstrates that percutaneous CT-guided RFA is a highly effective and safe technique with high success and low complication rates for the treatment of OO in both pediatric and adult populations.

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ct引导下射频消融治疗儿童和成人骨样骨瘤：单中心经验和比较结果。

目的：报告一项单中心经验，比较计算机断层扫描（CT）引导下射频消融（RFA）治疗儿童和成人类骨瘤（OO）的疗效和安全性。材料与方法：回顾性分析2019年1月至2025年1月97例ct引导下RFA治疗OO患者的电子病历。患者分为儿童组和成人组。评估人口统计学数据、病变的解剖位置和大小、手术时间、术前和术后视觉模拟评分（VAS）、并发症、技术和临床成功率以及复发率。结果：97例患者中，儿童51例（52.6%），成人46例（47.4%）。小儿组平均病变直径为7.98±2.92 mm，成人组平均病变直径为7.14±3.72 mm。ct引导下RFA治疗OO的总体技术成功率为100%，临床一级成功率97.9%，二级成功率98.9%。小儿组的初步临床成功率为98.1%(50/51)，成人组为97.8%（45/46）。没有观察到与手术相关的主要并发症。轻微并发症包括1例儿科患者（1.9%,1/51）短暂性皮肤烧伤，1例儿科患者（1.9%,1/51）和1例成人患者（2.2%,1/46）局部肌肉疼痛。结论：本研究表明，经皮ct引导下的射频消融术是一种高效安全的技术，在儿童和成人中治疗OO的成功率高，并发症发生率低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Skeletal Radiology 医学-核医学

CiteScore

4.40

自引率

9.50%

发文量

253

审稿时长

3-8 weeks

期刊介绍： Skeletal Radiology provides a forum for the dissemination of current knowledge and information dealing with disorders of the musculoskeletal system including the spine. While emphasizing the radiological aspects of the many varied skeletal abnormalities, the journal also adopts an interdisciplinary approach, reflecting the membership of the International Skeletal Society. Thus, the anatomical, pathological, physiological, clinical, metabolic and epidemiological aspects of the many entities affecting the skeleton receive appropriate consideration. This is the Journal of the International Skeletal Society and the Official Journal of the Society of Skeletal Radiology and the Australasian Musculoskelelal Imaging Group.