Spinal osteoid osteoma in the pediatric population: A management algorithm and systematic review.

IF 1.3 4区 医学 Q3 ORTHOPEDICS Journal of Childrens Orthopaedics Pub Date : 2023-08-30 eCollection Date: 2023-10-01 DOI:10.1177/18632521231192477
Alexander R Farid, David S Liu, Mary M Morcos, Grant D Hogue
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Abstract

Purpose: The purpose of this study is to develop an accessible step-wise management algorithm for the management of pediatric spinal osteoid osteomas (OOs) based on a systematic review of the published literature regarding the diagnostic evaluation, treatment, and outcomes following surgical resection.

Methods: A systematic review of the literature was conducted on PubMed to locate English language studies reporting on the management of pediatric spinal OOs. Data extraction of clinical presentation, management strategies and imaging, and treatment outcomes were performed.

Results: Ten studies reporting on 85 patients under the age of 18 years presenting with OOs were identified. Back pain was the most common presenting symptom, and scoliosis was described in 8 out of 10 studies, and radicular pain in 7 out of 10 studies. Diagnostic, intraoperative, and postoperative assessment included radiographs, computed tomography (CT) scans, magnetic resonance imaging (MRI), bone scans, and frozen section. Treatment options varied, including conservative management, open surgical resection with or without intraoperative imaging, and percutaneous image-guided treatment. All included studies described partial or complete resolution of pain in the immediate postoperative period.

Conclusions: The proposed algorithm provides a suggested framework for management of pediatric spinal OOs based on the available evidence (levels of evidence: 3, 4). This review of the literature indicated that a step-wise approach should be utilized in the management of pediatric spinal OOs.

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儿科人群中的脊柱骨样骨瘤:一种管理算法和系统综述。
目的:本研究的目的是在系统回顾已发表的关于手术切除后诊断评估、治疗和结果的文献的基础上,开发一种可访问的分级管理算法,用于儿童脊柱骨样骨瘤(OOs)的管理。方法:在PubMed上对文献进行系统回顾,以查找有关儿童脊髓OOs管理的英语研究报告。对临床表现、管理策略、影像学和治疗结果进行数据提取。结果:10项研究报告了85名18岁以下出现OOs的患者。背痛是最常见的表现症状,10项研究中有8项描述了脊柱侧弯,7项研究描述了神经根疼痛。诊断、术中和术后评估包括射线照片、计算机断层扫描(CT)、磁共振成像(MRI)、骨骼扫描和冷冻切片。治疗方案多种多样,包括保守治疗、带或不带术中影像学的开放手术切除和经皮图像引导治疗。所有纳入的研究都描述了术后即刻疼痛的部分或完全缓解。结论:基于现有证据(证据水平:3,4),所提出的算法为儿童脊柱OOs的管理提供了一个建议的框架。这篇文献综述表明,应采用循序渐进的方法来管理儿童脊柱OOs。
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
Journal of Childrens Orthopaedics
Journal of Childrens Orthopaedics Medicine-Orthopedics and Sports Medicine
CiteScore
2.70
自引率
14.30%
发文量
61
审稿时长
23 weeks
期刊介绍: Aims & Scope The Journal of Children’s Orthopaedics is the official journal of the European Paediatric Orthopaedic Society (EPOS) and is published by The British Editorial Society of Bone & Joint Surgery. It provides a forum for the advancement of the knowledge and education in paediatric orthopaedics and traumatology across geographical borders. It advocates an increased worldwide involvement in preventing and treating musculoskeletal diseases in children and adolescents. The journal publishes high quality, peer-reviewed articles that focus on clinical practice, diagnosis and treatment of disorders unique to paediatric orthopaedics, as well as on basic and applied research. It aims to help physicians stay abreast of the latest and ever-changing developments in the field of paediatric orthopaedics and traumatology. The journal welcomes original contributions submitted exclusively for review to the journal. This continuously published online journal is fully open access and will publish one print issue each year to coincide with the EPOS Annual Congress, featuring the meeting’s abstracts.
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