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Case Reports
. 2020 Feb;48(2):300060520903873.
doi: 10.1177/0300060520903873.

Osteoid osteoma: lower back pain combined with scoliosis

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Case Reports

Osteoid osteoma: lower back pain combined with scoliosis

Yun-Lin Chen et al. J Int Med Res. 2020 Feb.

Abstract

Osteoid osteoma is a small benign bone tumor that is primarily localized in long bone; lumbar osteoid osteoma combined with scoliosis has rarely been reported. Here, we describe a 9-year-old boy who complained of back pain and scoliosis. He underwent nidus resection and did not experience complications or osteoid osteoma recurrence. His pain and scoliosis were relieved after the operation. The findings in this case indicate that resection of osteoid osteoma is an effective and safe method of treatment. The lumbar spine is the most common location of osteoid osteoma, which causes painful scoliosis. Nidus resection can provide relief of back pain and scoliosis.

Keywords: Osteoid osteoma; back pain; bone neoplasms; lumbar vertebrae; lumbosacral region; resection; scoliosis.

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Figures

Figure 1.
Figure 1.
(a, b) Anteroposterior and lateral views of the lumbar spine revealed scoliosis, with absence of thoracic vertebrae rotation and minimal lumbar vertebrae rotation to the concave side. (c, d) Computed tomography scans revealed the nidus of the osteoid osteoma (black arrows). (e, f) Magnetic resonance imaging showed edema and inflammatory changes of the lamina and paravertebral soft tissue (red arrows).
Figure 2.
Figure 2.
(a, b) Anteroposterior and lateral views of the lumbar spine showed disappearance of lumbar scoliosis. (c, d) Computed tomography scan showed en bloc resection of the nidus (black arrows). (e, f) Magnetic resonance imaging showed relief of edema and inflammatory changes in the lamina and paravertebral soft tissue.

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