[Spinal osteoid osteomas. Apropos of 4 cases].

Abstract

Spinal osteoid osteomas constitute a rare but perfectly curable cause of non-disc root pain. In discussing four cases (2 cervical and 2 lumbar), the authors stress that this disorder affects above all males under 30 and presents as vertebral column pain gradually becoming radicular in character; the pain, essentially nocturnal, is spectacularly but transiently relieved by salicylates and is accompanied by often frank stiffness of the spine. The diagnosis is based less on X rays and tomographs, than on isotope bone scanning, which reveals a focus of intense hyperfixation, and CAT scanning which shows a bony lacuna possibly with an opacity in the center producing a rosette shaped image. Block excision of the osteoid osteoma produces immediate relief for the patient and prevents recurrence which only occurs exceptionally.

• Authors: G Guy, M Jan, P Lemonnier, C Rabehenoina, P Mercier
• Journal: Neuro-Chirurgie (Neurochirurgie) Vol. 35 Issue 1 Pg. 41-6 ( 1989) ISSN: 0028-3770 [Print] France
• Vernacular Title: Ostéomes ostéoïdes rachidiens. A propos de 4 observations.
• PMID: 2654682 (Publication Type: Case Reports, English Abstract, Journal Article, Review)

Topics

• Adult
• Cervical Vertebrae
• Female
• Humans
• Lumbar Vertebrae
• Male
• Osteoma, Osteoid (diagnosis)
• Pain (etiology)
• Spinal Diseases (etiology)
• Spinal Neoplasms (diagnosis)