الورم الأرومي العظمي مع آفة عظمية متصلبة ومتكلسة بشدة على التصوير بعد فشل الاستئصال

References

DOI: 10.3390/jcm10245717

• RFA is primarily used for the treatment of lesions that are mainly osteolytic because the higher intrinsic impedance of sclerotic bone lesions prevents the radiofrequency circuit from generating sufficiently high temperatures to ensure cell death and renders RFA ineffective.
• In the past, surgical resection or curettage was the only therapeutic alternatives to conservative treatment.
• Usually, surgery is performed under general anesthesia.
• The accurate localization of the lesion is performed with fluoroscopy.
• Surgery consists of intralesional excision (curettage) or total excision.
• In addition to thorough decompression of the spinal cord and nerve roots, total excision of the involved posterior elements is performed.
• When the vertebral body is involved, intralesional excision (curettage) is performed to ensure maximal removal of the tumor and to minimize the risk of tumor recurrence.
• Reconstruction of the stability and structure of the spine is selectively performed based on the extent of the lamina and vertebral body resection required, namely, in presence of removal of the pedicle and/or injury of the facet.