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Scoliosis secondary to lumbar osteoid osteoma: A case report of delayed diagnosis and literature review

RATIONALE: Lumbar osteoid osteoma has a low incidence, which could easily lead to scoliosis. PATIENT CONCERNS: Scoliosis secondary to lumbar osteoid osteoma could be easily misdiagnosed when patients do not complain of obvious symptoms. DIAGNOSES: We reported a case of a 9-year-old boy with back def...

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Autores principales: Zhang, Haiping, Niu, Xingbang, Wang, Biao, He, Simin, Hao, Dingjun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5134864/
https://www.ncbi.nlm.nih.gov/pubmed/27893671
http://dx.doi.org/10.1097/MD.0000000000005362
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author Zhang, Haiping
Niu, Xingbang
Wang, Biao
He, Simin
Hao, Dingjun
author_facet Zhang, Haiping
Niu, Xingbang
Wang, Biao
He, Simin
Hao, Dingjun
author_sort Zhang, Haiping
collection PubMed
description RATIONALE: Lumbar osteoid osteoma has a low incidence, which could easily lead to scoliosis. PATIENT CONCERNS: Scoliosis secondary to lumbar osteoid osteoma could be easily misdiagnosed when patients do not complain of obvious symptoms. DIAGNOSES: We reported a case of a 9-year-old boy with back deformity that was firstly diagnosed with scoliosis at the local hospital. After prescribed with orthosis, the patient experienced aggravating pain that could not be relieved with painkillers. After he admitted to our hospital for further medical advice, he was prescribed to complete radiological examinations. Considering his radiological examination results and his medical history, correct diagnosis of lumbar osteoid osteoma was made. INTERVENTIONS: Surgical intervention of posterior lesion resection was conducted after diagnosis. Intra-operative frozen pathology indicated features of osteoid osteoma. As the lesion involved inferior articular process of L5, which could cause lumbar instability after lesion resection, internal fixation was conducted at L4-S1 segment, and posterolateral bone fusion was also conducted at L5-S1 segment. OUTCOMES: Three months after operation, the patient showed marked improvement of scoliosis deformity and great relief of lumbar pain. LESSONS SUBSECTIONS: Although spine osteoid osteoma is clinically rare, it shall not be overlooked when young patients present with scoliosis first. Radiological results including computed tomography and magnetic resonance imaging shall be taken carefully as reference when making diagnosis. Surgical intervention of lesion resection could well improve scoliosis and relieve lumbar pain.
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spelling pubmed-51348642016-12-08 Scoliosis secondary to lumbar osteoid osteoma: A case report of delayed diagnosis and literature review Zhang, Haiping Niu, Xingbang Wang, Biao He, Simin Hao, Dingjun Medicine (Baltimore) 7100 RATIONALE: Lumbar osteoid osteoma has a low incidence, which could easily lead to scoliosis. PATIENT CONCERNS: Scoliosis secondary to lumbar osteoid osteoma could be easily misdiagnosed when patients do not complain of obvious symptoms. DIAGNOSES: We reported a case of a 9-year-old boy with back deformity that was firstly diagnosed with scoliosis at the local hospital. After prescribed with orthosis, the patient experienced aggravating pain that could not be relieved with painkillers. After he admitted to our hospital for further medical advice, he was prescribed to complete radiological examinations. Considering his radiological examination results and his medical history, correct diagnosis of lumbar osteoid osteoma was made. INTERVENTIONS: Surgical intervention of posterior lesion resection was conducted after diagnosis. Intra-operative frozen pathology indicated features of osteoid osteoma. As the lesion involved inferior articular process of L5, which could cause lumbar instability after lesion resection, internal fixation was conducted at L4-S1 segment, and posterolateral bone fusion was also conducted at L5-S1 segment. OUTCOMES: Three months after operation, the patient showed marked improvement of scoliosis deformity and great relief of lumbar pain. LESSONS SUBSECTIONS: Although spine osteoid osteoma is clinically rare, it shall not be overlooked when young patients present with scoliosis first. Radiological results including computed tomography and magnetic resonance imaging shall be taken carefully as reference when making diagnosis. Surgical intervention of lesion resection could well improve scoliosis and relieve lumbar pain. Wolters Kluwer Health 2016-11-28 /pmc/articles/PMC5134864/ /pubmed/27893671 http://dx.doi.org/10.1097/MD.0000000000005362 Text en Copyright © 2016 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 7100
Zhang, Haiping
Niu, Xingbang
Wang, Biao
He, Simin
Hao, Dingjun
Scoliosis secondary to lumbar osteoid osteoma: A case report of delayed diagnosis and literature review
title Scoliosis secondary to lumbar osteoid osteoma: A case report of delayed diagnosis and literature review
title_full Scoliosis secondary to lumbar osteoid osteoma: A case report of delayed diagnosis and literature review
title_fullStr Scoliosis secondary to lumbar osteoid osteoma: A case report of delayed diagnosis and literature review
title_full_unstemmed Scoliosis secondary to lumbar osteoid osteoma: A case report of delayed diagnosis and literature review
title_short Scoliosis secondary to lumbar osteoid osteoma: A case report of delayed diagnosis and literature review
title_sort scoliosis secondary to lumbar osteoid osteoma: a case report of delayed diagnosis and literature review
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5134864/
https://www.ncbi.nlm.nih.gov/pubmed/27893671
http://dx.doi.org/10.1097/MD.0000000000005362
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