{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T10:15:00Z","timestamp":1775902500211,"version":"3.50.1"},"reference-count":54,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2009,9]]},"abstract":"<jats:sec>\n<jats:title>Object<\/jats:title>\n<jats:p>Osteoid osteomas (OOs) are benign lesions of the spine, but can cause significant pain and spinal deformity in the pediatric population. They are often surgically elusive, and may require multiple surgical procedures to ensure complete resection. Nuclear medicine intraoperative bone scans (IOBSs) are highly sensitive for lesion localization and verification of complete surgical extirpation.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>A retrospective review of 20 consecutive patients who had undergone resection of a spinal OO at the authors' institution was undertaken. In all cases, IOBSs were used for lesion localization and verification of resection. Postoperative imaging and clinical follow-up were obtained.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>The average length of follow-up was 56 months, with a range of 8\u2013156 months. Five patients had undergone a total of 12 unsuccessful prior procedures for resection at other institutions where IOBSs were not used. In these patients, complete resection was accomplished with the use of IOBSs at the authors' institution. Of the 15 patients who presented to this institution with a newly diagnosed OO and who underwent IOBS-assisted resection, 14 had complete resection without recurrence. One patient, however, was found to have a discrete recurrence adjacent to the initial resection bed at the time of follow-up.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Osteoid osteomas are benign lesions of the spine, and complete resection is curative. If resection is incomplete, then recurrence is likely. The IOBS modality is highly sensitive for detecting OO and for guiding complete resection. The IOBS modality should be considered as a first-line surgical adjunct in cases of suspected OO.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2009.4.peds08445","type":"journal-article","created":{"date-parts":[[2009,9,22]],"date-time":"2009-09-22T12:21:19Z","timestamp":1253622079000},"page":"237-244","source":"Crossref","is-referenced-by-count":19,"title":["Osteoid osteomas: intraoperative bone scan\u2013assisted resection"],"prefix":"10.3171","volume":"4","author":[{"given":"Donald J.","family":"Blaskiewicz","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, State University of New York Upstate Medical University, Syracuse, New York; and"},{"name":"Departments of Neurosurgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Durga R.","family":"Sure","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel J.","family":"Hedequist","sequence":"additional","affiliation":[{"name":"Orthopaedics, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John B.","family":"Emans","sequence":"additional","affiliation":[{"name":"Orthopaedics, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frederick","family":"Grant","sequence":"additional","affiliation":[{"name":"Nuclear Medicine, Children's Hospital, Harvard Medical School, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark R.","family":"Proctor","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-0040237","series-title":"Radiology","doi-asserted-by":"publisher","first-page":"541","DOI":"10.1148\/radiology.188.2.8327712","article-title":"Osteoid osteoma: percutaneous resection with CT guidance","volume":"188","author":"Assoun","year":"1993"},{"key":"b2-0040237","series-title":"Rev Chir Orthop Reparatrice Appar Mot","first-page":"764","article-title":"[The peroperative isotopic location of osteoid osteomas and other lesions exhibiting increased uptake on scintigraphy.]","volume":"74","author":"Augereau","year":"1988"},{"key":"b3-0040237","series-title":"Pediatr Radiol","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1007\/BF02387501","article-title":"Osteoid osteoma and osteoblastoma of the spine in children. 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