العظموم العظماني : التشخيص و التدبير

الملخص EN

Objective: Osteoid Osteoma is a benign lesion accounting for approximately 10% of benign skeletal neoplasm in children.

It maybe found in different localizations involving mainly long bones of the extremities and posterior elements of the vertebrae, mostly at the thoracic and lumbar region.

Material and Methods: Forty seven patients, who had osteoid osteoma treated with surgical removal in Children University Hospital in Damascus, were studied in this research, in the period between January 2007 and January 2014.

All the studied tumors were removed with the surrounding bone (with en-bloc technique).

No bony grafts and no internal fixators were used in any case.

Results: no recurrence was noticed in any case during two years of clinical and radiological follow-up, (34.04%) of cases were localized in the femur, (21.28%) in the tibia and (10.64%) were localized in each of the forearm and the vertebral column.

The pain – which is the main compliance – retarded in few days after the surgical removal of the tumor in 97.87% of the studied cases.

Conclusion: Although the Osteoid Osteoma is a benign tumor, and it has no suspected developments , it is advised to be resected .In this study we found that en-bloc resection technique has a very motivate results, so we advise with it as a useful surgical choice.