Severe contracture in the lower extremity resulting from an osteoid osteoma of the lumbar spine in close proximity to neural elements in an adolescent: a case report

January 7, 2022

doi: 10.1007/s43390-021-00449-6.

Online ahead of print.

Affiliations

¹ Department of Orthopaedic Surgery, Washington University School of Medicine, Washington University Orthopaedics, 4921 Parkview Place, Suite 6B, Campus Box 8605, St. Louis, MO, 63110, USA.
² Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT, USA.
³ Department of Orthopaedic Surgery, Washington University School of Medicine, Washington University Orthopaedics, 4921 Parkview Place, Suite 6B, Campus Box 8605, St. Louis, MO, 63110, USA. [email protected].

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John C F Clohisy et al.

Spine Deform.

2022.

doi: 10.1007/s43390-021-00449-6.

Online ahead of print.

Affiliations

¹ Department of Orthopaedic Surgery, Washington University School of Medicine, Washington University Orthopaedics, 4921 Parkview Place, Suite 6B, Campus Box 8605, St. Louis, MO, 63110, USA.
² Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT, USA.
³ Department of Orthopaedic Surgery, Washington University School of Medicine, Washington University Orthopaedics, 4921 Parkview Place, Suite 6B, Campus Box 8605, St. Louis, MO, 63110, USA. [email protected].

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Abstract

Case:

We report a rare case of a right-sided L4-5 facet osteoid osteoma in a 11-year-old female who presented with lower extremity pain, contractures, and gait disturbance in the setting of failed radiofrequency ablation. After open excision and single-level posterolateral fusion with instrumentation, her symptoms resolved and her spinopelvic parameters normalized.

Conclusions:

This case highlights the contracture that may occur as a result of neurogenic pain from an osteoid osteoma in close proximity to neural structures.

Keywords:

Adolescent; Adult spinal deformity; Osteoid osteoma; Scoliosis; Spine.

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