Osteoid osteoma presenting as thoracic scoliosis.
BACKGROUND
Osteoid osteoma of the thoracic spine is relatively uncommon and is often difficult to diagnose, especially when patients do not complain of pain.


OBJECTIVE
This study aims to describe an unusual case of scoliosis caused by osteoid osteoma of the thoracic spine that was challenging to diagnose.


METHODS
A case report of a 12-year-old girl who presented with scoliosis caused by osteoid osteoma of the thoracic spine without apparent pain was carried out.


METHODS
Diagnosis of the lesion was made using computed tomography (CT) and magnetic resonance imaging as well as the Scoliosis Research Society-22 (SRS-22) patient-based questionnaire.


RESULTS
A preoperative CT myelogram revealed a mass lesion in the lamina of the 10th thoracic vertebra that was considered to be osteoid osteoma. This diagnosis was histologically confirmed following tumor excision. The patient's spinal deformity and SRS-22 scores were both improved at 5 months postoperatively.


CONCLUSIONS
Osteoid osteoma of the thoracic spine may present as non-painful scoliosis. Tumor resection is effective. Clinicians should bear this uncommon lesion in mind during recommended CT examination before scoliosis surgery.
Department of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto-City, Nagano 390-8621, Japan.
Masashi
M
Uehara
Department of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto-City, Nagano 390-8621, Japan. Electronic address: jtaka@shinshu-u.ac.jp.
Jun
J
Takahashi
Department of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto-City, Nagano 390-8621, Japan.
Shugo
S
Kuraishi
Department of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto-City, Nagano 390-8621, Japan.
Masayuki
M
Shimizu
Department of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto-City, Nagano 390-8621, Japan.
Shota
S
Ikegami
Department of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto-City, Nagano 390-8621, Japan.
Toshimasa
T
Futatsugi
Department of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto-City, Nagano 390-8621, Japan.
Hiroyuki
H
Kato
D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D010017:Osteoma, Osteoid / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D012600:Scoliosis / Q000000981:diagnostic imaging*; D013125:Spinal Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed
CT myelogram; Osteoid osteoma; Scoliosis; Spinal deformity; Tumor excision; Vertebral rotation