Painful scoliosis in an adolescent: a diagnostic dilemma.

Publication date: Nov 27, 2024

Osteoid osteoma is a benign bone-forming tumour, seen more frequently in males than females, during the first three decades of their life. It accounts for 3% of all bone neoplasms and 10-12% of benign bone lesions. The spine is involved in approximately 10-20% of cases. A teenage boy presented with complaints of low back pain and spinal deformity for 2 years. He was previously treated for tuberculosis of that same segment empirically. A whole-body PET scan was taken, which revealed the presence of osteoid osteoma. The patient underwent complete resection of the osteoid osteoma from the L3-L4 facet joint and transforaminal lumbar interbody fusion. The patient had good pain relief following the procedure, and he was able to carry out all his daily activities on a 1-year follow-up with no recurrence.

Concepts Keywords
Bone Adolescent
Daily Diagnosis, Differential
Decades Humans
Females Low Back Pain
Tumour Lumbar Vertebrae
Male
Neurooncology
Orthopaedics
Osteoma, Osteoid
Positron-Emission Tomography
Scoliosis
Spinal Fusion
Spinal Neoplasms
Surgical oncology
Treatment Outcome

Semantics

Type Source Name
disease MESH scoliosis
disease MESH Osteoid osteoma
disease MESH bone neoplasms
disease MESH low back pain
disease MESH deformity
disease MESH tuberculosis
pathway KEGG Tuberculosis
disease MESH recurrence
disease MESH Spinal Neoplasms

Original Article

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