頚椎神経根症状を主訴とした類骨骨腫の一手術例
類骨骨腫（Osteoid osteoma）は20歳以下の若年男性に多く発生し，好発部位は下肢などの長管骨である．大きさは15 mm以上になることはないとされている．症状発生にはプロスタグランジンの関与があり，小さい骨腫ではあるが，周囲組織に浮腫をもたらし，疼痛を惹起している．症例は17歳の女性で，頚椎C5椎弓根より発生し，進展して頚部痛とC6神経根症状を呈した．治療法としてCT，MRIをガイドとしたablationでは低侵襲ではあるが，周囲の重要組織への影響が危惧される．本症例のような神経組織近傍に発生した脊椎病変では，CTガイドを利用したopen surgeryがより安全で正確にnidus摘...
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| Published in | Journal of Spine Research Vol. 13; no. 7; pp. 975 - 980 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本脊椎脊髄病学会
20.07.2022
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1884-7137 2435-1563 |
| DOI | 10.34371/jspineres.2022-0714 |
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| Abstract | 類骨骨腫（Osteoid osteoma）は20歳以下の若年男性に多く発生し，好発部位は下肢などの長管骨である．大きさは15 mm以上になることはないとされている．症状発生にはプロスタグランジンの関与があり，小さい骨腫ではあるが，周囲組織に浮腫をもたらし，疼痛を惹起している．症例は17歳の女性で，頚椎C5椎弓根より発生し，進展して頚部痛とC6神経根症状を呈した．治療法としてCT，MRIをガイドとしたablationでは低侵襲ではあるが，周囲の重要組織への影響が危惧される．本症例のような神経組織近傍に発生した脊椎病変では，CTガイドを利用したopen surgeryがより安全で正確にnidus摘出が可能であった． |
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| AbstractList | 類骨骨腫（Osteoid osteoma）は20歳以下の若年男性に多く発生し，好発部位は下肢などの長管骨である．大きさは15 mm以上になることはないとされている．症状発生にはプロスタグランジンの関与があり，小さい骨腫ではあるが，周囲組織に浮腫をもたらし，疼痛を惹起している．症例は17歳の女性で，頚椎C5椎弓根より発生し，進展して頚部痛とC6神経根症状を呈した．治療法としてCT，MRIをガイドとしたablationでは低侵襲ではあるが，周囲の重要組織への影響が危惧される．本症例のような神経組織近傍に発生した脊椎病変では，CTガイドを利用したopen surgeryがより安全で正確にnidus摘出が可能であった． |
| Author | 劉, 軒 白石, 昭司 本田, 英一郎 田中, 達也 |
| Author_xml | – sequence: 1 fullname: 田中, 達也 organization: 国際医療福祉大学成田校 – sequence: 1 fullname: 劉, 軒 organization: 白石共立病院脳神経脊髄外科 – sequence: 1 fullname: 白石, 昭司 organization: 西日本病院脳神経外科 – sequence: 1 fullname: 本田, 英一郎 organization: 白石共立病院脳神経脊髄外科 |
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| References | 10) Maurer HM, Gebauer B, Wieners G, et al: Treatment of osteoid osteoma using CTguided radiofrequency ablation versus MR-guided laser ablation: a cost comparison. European Journal of Radiology. 2012; 81: 1002-1006 2) Lee EH, Shafi M, Hui JH: Osteoid osteoma: a current review. J Pediatr Orthop. 2006; 26 (5): 695-700 5) Healey JH, Ghelman B: Osteoid osteoma and osteoblastoma. Current concepts and recent advances. Clin Orthop Relat Res. 1986; 204: 76-85 4) Ghanem I: The management of osteoid osteoma: updates and controversies. Curr Opin Pediatr. 2006; 18: 36-41 14) Geiger D, Napoli A, Conchiglia A, et al: MR-guided focused ultrasound (MRgFUS) ablation for the treatment of nonspinal osteoid osteoma: a prospective multicenter evaluation. J Bone Joint Surg Am. 2014; 96: 743-751 15) Campanacci M, Ruggieri P, Gasbarrini A, et al: Osteoid osteoma. Direct visual identification and intralesional excision of the nidus with minimal removal of bone. J Bone Joint Surg Br. 1999; 81: 814-820 1) Boscainos PJ, Cousins GR, Kulshreshtha R, et al: Osteoid osteoma. Orthopedics. 2013; 36: 792-800 7) Kneisl JA, Simon MA: Medical management compared with operative treatment for osteoid-osteoma. Journal of Bone and Joint Surgery. 1992; 74: 179-185 3) Hakim DN, Pelly T, Kulendran M, et al: Benign tumours of the bone: A review. J Bone Oncol. 2015; 4: 37-41 13) Assoun J, Richardi G, Railhac JJ, et al: Osteoid osteoma: MR imaging versus CT. Radiology. 1994; 191: 217-223 12) Frassica FJ, Waltrip RL, Sponseller PD, et al: Clinicopathologic features and treatment of osteoid osteoma and osteoblastoma in children and adolescents. Orthop Clin North Am. 1996; 27: 559-574 8) Bednar MS, Weiland AJ, Light TR: Osteoid osteoma of the upper extremity. Hand Clin. 1995; 11: 211-221 11) Lanza E, Thouvenin Y, Viala P, et al: Osteoid osteoma treated by percutaneous thermal ablation: when do we fail? A systematic review and guidelines for future reporting. Cardiovasc Intervent Radiol. 2014; 37: 1530-1539 6) Chai JW, Hong SH, Choi YC, et al: Radiologic diagnosis of osteoid osteoma; from simple to challenging findings. RadioGraohics. 2010; 30: 737-749 9) Motamedi D, Learch JT, Ishimitsu DN, et al: Thermal ablation of osteoid osteoma: overview and step-by-step guide. Radiographics. 2009; 29: 2127-2141 |
| References_xml | – reference: 7) Kneisl JA, Simon MA: Medical management compared with operative treatment for osteoid-osteoma. Journal of Bone and Joint Surgery. 1992; 74: 179-185 – reference: 8) Bednar MS, Weiland AJ, Light TR: Osteoid osteoma of the upper extremity. Hand Clin. 1995; 11: 211-221 – reference: 11) Lanza E, Thouvenin Y, Viala P, et al: Osteoid osteoma treated by percutaneous thermal ablation: when do we fail? A systematic review and guidelines for future reporting. Cardiovasc Intervent Radiol. 2014; 37: 1530-1539 – reference: 14) Geiger D, Napoli A, Conchiglia A, et al: MR-guided focused ultrasound (MRgFUS) ablation for the treatment of nonspinal osteoid osteoma: a prospective multicenter evaluation. J Bone Joint Surg Am. 2014; 96: 743-751 – reference: 13) Assoun J, Richardi G, Railhac JJ, et al: Osteoid osteoma: MR imaging versus CT. Radiology. 1994; 191: 217-223 – reference: 5) Healey JH, Ghelman B: Osteoid osteoma and osteoblastoma. Current concepts and recent advances. Clin Orthop Relat Res. 1986; 204: 76-85 – reference: 15) Campanacci M, Ruggieri P, Gasbarrini A, et al: Osteoid osteoma. Direct visual identification and intralesional excision of the nidus with minimal removal of bone. J Bone Joint Surg Br. 1999; 81: 814-820 – reference: 9) Motamedi D, Learch JT, Ishimitsu DN, et al: Thermal ablation of osteoid osteoma: overview and step-by-step guide. Radiographics. 2009; 29: 2127-2141 – reference: 1) Boscainos PJ, Cousins GR, Kulshreshtha R, et al: Osteoid osteoma. Orthopedics. 2013; 36: 792-800 – reference: 6) Chai JW, Hong SH, Choi YC, et al: Radiologic diagnosis of osteoid osteoma; from simple to challenging findings. RadioGraohics. 2010; 30: 737-749 – reference: 2) Lee EH, Shafi M, Hui JH: Osteoid osteoma: a current review. J Pediatr Orthop. 2006; 26 (5): 695-700 – reference: 4) Ghanem I: The management of osteoid osteoma: updates and controversies. Curr Opin Pediatr. 2006; 18: 36-41 – reference: 12) Frassica FJ, Waltrip RL, Sponseller PD, et al: Clinicopathologic features and treatment of osteoid osteoma and osteoblastoma in children and adolescents. Orthop Clin North Am. 1996; 27: 559-574 – reference: 10) Maurer HM, Gebauer B, Wieners G, et al: Treatment of osteoid osteoma using CTguided radiofrequency ablation versus MR-guided laser ablation: a cost comparison. European Journal of Radiology. 2012; 81: 1002-1006 – reference: 3) Hakim DN, Pelly T, Kulendran M, et al: Benign tumours of the bone: A review. J Bone Oncol. 2015; 4: 37-41 |
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| Snippet | 類骨骨腫（Osteoid osteoma）は20歳以下の若年男性に多く発生し，好発部位は下肢などの長管骨である．大きさは15... |
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| SubjectTerms | CTナビゲーション 頚椎神経根症状 類骨骨腫 |
| Title | 頚椎神経根症状を主訴とした類骨骨腫の一手術例 |
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