[Spinal osteoid osteomas. Apropos of 4 cases].
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.
Guy
G
G
Service de Neurochirurgie, Centre Hospitalier Régional, Angers.
Jan
M
M
Lemonnier
P
P
Rabehenoina
C
C
Mercier
P
P
D000328:Adult; D002574:Cervical Vertebrae; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae; D008297:Male; D010017:Osteoma, Osteoid / Q000175:diagnosis; D010146:Pain / Q000209:etiology; D013122:Spinal Diseases / Q000209:etiology; D013125:Spinal Neoplasms / Q000175:diagnosis
Ostéomes ostéoïdes rachidiens. A propos de 4 observations.