• Benign bone tumor (osteogenic) derived from osteoblasts
  • Common sites : Proximal femur (most common),tibial diaphysis, vertebrae
  • Histology – Nidus of osteoid and immature osteoblasts surrounded by a rim of reactive bone formation
  • X- ray shows radiolucent nidus (< 2 cm) surrounded by reactive bone
  • Treatment – observation and NSAIDs, radiofrequency ablation, surgery
  • Osteoid osteoma in spine can cause painful scoliosis, surgical intervention of lesion resection could well improve scoliosis and relieve lumbar pain
  • Newer techniques : computed tomography-guided percutaneous radiofrequency thermal ablation, Laser photocoagulation

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