Osteoid osteoma presenting with scoliosis: successful resection with endoscopic excision

BMJ Case Rep. 2024 Mar 7;17(3):e258346. doi: 10.1136/bcr-2023-258346.

Abstract

A young male in his mid-teen years presented with severe back pain for 3 months and was subsequently diagnosed with osteoid osteoma in the left superior articular process of the L4 vertebra. Initial treatment with non-steroidal anti-inflammatory drugs provided temporary relief. Due to concerns about scoliosis progression along with unrelieved pain, a multidisciplinary team recommended endoscopic excision of the osteoid osteoma. The procedure resulted in complete pain relief and an improvement in the scoliosis curve from 22° of Cobb's angle to 12 degrees at the 8-month follow-up.

Keywords: Neurosurgery; Orthopaedic and trauma surgery; Orthopaedics; Surgical oncology.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Bone Neoplasms* / diagnosis
  • Bone Neoplasms* / diagnostic imaging
  • Humans
  • Male
  • Osteoma, Osteoid* / diagnosis
  • Osteoma, Osteoid* / diagnostic imaging
  • Pain
  • Scoliosis* / complications
  • Scoliosis* / diagnostic imaging
  • Scoliosis* / surgery
  • Tomography, X-Ray Computed