Clinical long-term outcome, technical success, and cost analysis of radiofrequency ablation for the treatment of osteoblastomas and spinal osteoid osteomas in comparison to open surgical resection

@article{Weber2015ClinicalLO,
  title={Clinical long-term outcome, technical success, and cost analysis of radiofrequency ablation for the treatment of osteoblastomas and spinal osteoid osteomas in comparison to open surgical resection},
  author={Marc-Andr{\'e} Weber and Simon David Sprengel and Georg W. Omlor and Burkhard Lehner and Bernd Wiedenh{\"o}fer and Hans Ulrich Kauczor and Christoph Rehnitz},
  journal={Skeletal Radiology},
  year={2015},
  volume={44},
  pages={981-993}
}
ObjectiveTo assess the clinical success and costs of computed tomography (CT)-guided radiofrequency ablation (RFA) of osteoblastoma (OB) and spinal osteoid osteoma (OO).Materials and methodsNineteen patients with OB and eight patients with spinal OO were treated with CT-guided RFA. The OBs were localized in the extremities (n = 10), the vertebral column (n = 2), and (juxta-)articular (n = 7). Dedicated procedural techniques included three-dimensional CT-guided access planning in all cases… 
European multicentre study on technical success and long-term clinical outcome of radiofrequency ablation for the treatment of spinal osteoid osteomas and osteoblastomas
TLDR
In a multicentric setting, this trial proves RFA to be a safe and efficient method to treat spinal OO/OB and should be regarded as first-line therapy after interdisciplinary case discussion.
Percutaneous Radiofrequency Ablation for the Treatment of Osteoid Osteoma in Children and Adults: A Comparative Analysis in 92 Patients
TLDR
Radiofrequency ablation of osteoid osteomas is safe with excellent technical and clinical success rates in pediatric and adult patients.
CT-guided radiofrequency ablation of spinal osteoblastoma: treatment and long-term follow-up
  • F. Arrigoni, A. Barile, +4 authors C. Masciocchi
  • Medicine
    International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group
  • 2018
TLDR
The experience demonstrates that RFA for spinal OB is safe and effective, and one of the main advantages of this technique is represented by its lower grade of invasiveness compared with that for potentially hazardous surgical manoeuvres.
Percutaneous radiofrequency ablation versus open surgical resection for spinal osteoid osteoma.
TLDR
If there is sufficient cerebrospinal fluid between the spinal OO lesion and spinal cord/nerve root (more than 1 mm), RFA is effective and safe for treatment of well-selected spinal Oo, showing reduced operating time, blood loss, in-hospital stay, and complications compared to OSR.
The safety and the efficacy of computed tomography guided percutaneous radiofrequency ablation of osteoid osteoma
TLDR
RFA is an out-patient procedure that patients can be mobilized immediately after the procedure and can be safely used as a first choice of treatment method in OO therapy.
Evolution of the imaging features of osteoid osteoma treated with RFA or MRgFUS during a long-term follow-up: a pictorial review with clinical correlations
TLDR
The main findings on the imaging that can best describe the regular evolution of these types of treatment for osteoid osteoma were defined and four findings were considered.
Percutaneous radiofrequency ablation for spinal osteoid osteoma and osteoblastoma
TLDR
CT-guided percutaneous RFA is a safe and effective treatment for spinal OO and S2 OB, especially in lesions with no neurological deficits and intact cortical bone.
Is radiofrequency ablation safe and effective in treating osteoid osteomas? A prospective single-center study with atypical cases
TLDR
RFA is safe and effective in both pediatric and adult patients with rare complications even in challenging cases with atypical locations, as demonstrated in a single-center experience of 55 patients with osteoid osteoma treated with percutaneous radiofrequency ablation.
Navigation-guided radiofrequency ablation for osteoid osteoma in the lumbar spine with a continuous cooling system for preventing neural damage: A report of two cases
TLDR
This novel combinatory use of navigation-guided RFA and continuous cooling will safely expand the scope of RFA application for spinal OO by preventing neural damage and preserving spinal structure.
Neurophysiological Monitoring in Radiofrequency Ablation of Spinal Osteoid Osteoma With a Progressive Time and Temperature Protocol in Children.
TLDR
CT-guided RFA is an accepted minimally invasive technique for the treatment of spinal OO in children and IONM may be a helpful tool that requires minimal additional time and provides feedback on the state of the spinal cord and nerves at risk during the procedure.
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