CT-Guided Percutanous Nidus Excision of Osteoid Osteoma - Burr Down Technique -

유골 골종에서 전산화 단층 촬영 유도하 경피적 핵 절제술 - 천공기 이용법 -

  • Kim, Byoung-Suck (Department of Orthopaedic Surgery, Ajou University School of Medicine) ;
  • Cho, Jae-Hyun (Department of Diagnostic Radiology, Ajou University School of Medicine) ;
  • Lee, Kyi-Beom (Department of Pathology, Ajou University School of Medicine) ;
  • Yu, Chung-Su (Department of Orthopaedic Surgery, Ajou University School of Medicine) ;
  • Ahn, Jae-In (Department of Orthopaedic Surgery, Ajou University School of Medicine)
  • 김병석 (아주대학교 의과대학 정형외과학교실) ;
  • 조재현 (아주대학교 의과대학 진단방사선과학교실) ;
  • 이기범 (아주대학교 의과대학 해부병리과학교실) ;
  • 유청수 (아주대학교 의과대학 정형외과학교실) ;
  • 안재인 (아주대학교 의과대학 정형외과학교실)
  • Published : 1999.03.30

Abstract

Aspirin has usually been taken for pain relief originating in the nidus of osteoid osteoma, however it takes too long to become effective. Because of the protracted painful course and the unpredictability of regression, osteoid osteoma is usually removed. And then, the defective host bone is internally fixed by plate and screws and augumented by autogenous bone graft. However, the common intracortical location and exuberant periosteal reaction hinders the exact intraoperative localization of the nidus. The authors managed 6 patients by computerized tomography-guided percutaneous nidus excision with a relatively small skin incision, small cortical window, short operation time and no bone graft. It may be one of the best options for removal of the nidus of osteoid osteoma with certainty.

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