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Research ArticleLumbar Spine

Spinal Osteoid Osteoma Revealed by Radiculopathy: Case Report and Literature Review

Aicha Ben Tekaya, Myriam Moalla, Mohamed Ben Salah, Olfa Saidane, Rawdha Tekaya, Khaled Hadhri, Ines Mahmoud and Leila Adbelmoula
International Journal of Spine Surgery December 2020, 7161; DOI: https://doi.org/10.14444/7161
Aicha Ben Tekaya
1Rheumatology Department, Charles Nicolle Hospital, Tunis, Tunisia
3Faculty of medicine of Tunis, University Tunis el Manar
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Myriam Moalla
1Rheumatology Department, Charles Nicolle Hospital, Tunis, Tunisia
3Faculty of medicine of Tunis, University Tunis el Manar
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Mohamed Ben Salah
2Orthopedic Department, Charles Nicolle Hospital, Tunis, Tunisia
3Faculty of medicine of Tunis, University Tunis el Manar
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Olfa Saidane
1Rheumatology Department, Charles Nicolle Hospital, Tunis, Tunisia
3Faculty of medicine of Tunis, University Tunis el Manar
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Rawdha Tekaya
1Rheumatology Department, Charles Nicolle Hospital, Tunis, Tunisia
3Faculty of medicine of Tunis, University Tunis el Manar
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Khaled Hadhri
2Orthopedic Department, Charles Nicolle Hospital, Tunis, Tunisia
3Faculty of medicine of Tunis, University Tunis el Manar
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Ines Mahmoud
1Rheumatology Department, Charles Nicolle Hospital, Tunis, Tunisia
3Faculty of medicine of Tunis, University Tunis el Manar
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Leila Adbelmoula
1Rheumatology Department, Charles Nicolle Hospital, Tunis, Tunisia
3Faculty of medicine of Tunis, University Tunis el Manar
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ABSTRACT

Osteoid osteoma (OO) is a benign tumor that usually occurs in long bones of young males. We report a rare case of spinal OO in a 25-year-old woman, revealed by a sciatica. Spinal radiographs and computed tomography scan were normal, although performed at 6 months of symptom evolution. On magnetic resonance imaging, however, an important edema of the right transverse process of L5 vertebrae was depicted but was inconclusive. The diagnosis of OO was finally retained on a second computed tomography scan with thinner slices focused on the edematous area. The patient had an en-bloc excision of the tumor with complete regression of symptoms. Due to the atypical clinical presentation and the absence of common findings in imaging, the diagnosis was delayed by 12 months. Radiculopathy caused by spinal OO is a rare condition with no more than 30 cases reported in the literature. In fact, spinal OO usually presents with inflammatory back pain or painful scoliosis. This case emphasizes the importance of early suspicion and diagnostic interventions in the detection and treatment of OO.

  • osteoma
  • osteoid
  • spine
  • radiculopathy
  • sciatica

Footnotes

  • Disclosures and COI: All authors declare that they have participated in the design and analysis of the paper and that they have approved the final version. Additionally, there are no conflicts of interest in connection with this paper. We certify that the manuscript is original, not published previously, and not under concurrent consideration elsewhere.

  • This manuscript is generously published free of charge by ISASS, the International Society for the Advancement of Spine Surgery. Copyright © 2021 ISASS
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International Journal of Spine Surgery: 19 (S2)
International Journal of Spine Surgery
Vol. 19, Issue S2
1 Apr 2025
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Spinal Osteoid Osteoma Revealed by Radiculopathy: Case Report and Literature Review
Aicha Ben Tekaya, Myriam Moalla, Mohamed Ben Salah, Olfa Saidane, Rawdha Tekaya, Khaled Hadhri, Ines Mahmoud, Leila Adbelmoula
International Journal of Spine Surgery Dec 2020, 7161; DOI: 10.14444/7161

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Spinal Osteoid Osteoma Revealed by Radiculopathy: Case Report and Literature Review
Aicha Ben Tekaya, Myriam Moalla, Mohamed Ben Salah, Olfa Saidane, Rawdha Tekaya, Khaled Hadhri, Ines Mahmoud, Leila Adbelmoula
International Journal of Spine Surgery Dec 2020, 7161; DOI: 10.14444/7161
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Keywords

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