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Painful scoliosis in an adolescent: a diagnostic dilemma
  1. Ashlee Isaac1,
  2. Vijay Anand Balasubramanian2,
  3. Priyank Bharatbhai Oza3,
  4. Milap MahendraBhai Bhalodiya4 and
  5. Kalyani Praba Vijay5
  1. 1Orthopaedics, Sri Ramaswamy Memorial Group of Educational Institutions, Marthandam, Tamil Nadu, India
  2. 2Orthopaedics, Sri Ramaswamy Memorial Group of Educational Institutions, Chennai, Tamil Nadu, India
  3. 3Orthopaedics, Sri Ramaswamy Memorial Group of Educational Institutions, Patan, Gujarat, India
  4. 4Orthopaedics, Sri Ramaswamy Memorial Group of Educational Institutions, Morbi, Gujarat, India
  5. 5Physiology, Sri Ramaswamy Memorial Group of Educational Institutions, Chennai, Tamil Nadu, India
  1. Correspondence to Dr Ashlee Isaac; ashleeisaac12{at}gmail.com

Abstract

Osteoid osteoma is a benign bone-forming tumour, seen more frequently in males than females, during the first three decades of their life. It accounts for 3% of all bone neoplasms and 10–12% of benign bone lesions. The spine is involved in approximately 10–20% of cases. A teenage boy presented with complaints of low back pain and spinal deformity for 2 years. He was previously treated for tuberculosis of that same segment empirically. A whole-body PET scan was taken, which revealed the presence of osteoid osteoma. The patient underwent complete resection of the osteoid osteoma from the L3-L4 facet joint and transforaminal lumbar interbody fusion. The patient had good pain relief following the procedure, and he was able to carry out all his daily activities on a 1-year follow-up with no recurrence.

  • Orthopaedics
  • Neurooncology
  • Surgical oncology

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Footnotes

  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: . AI is the guarantor. The following author gave final approval of the manuscript: VA.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.