AI Article Synopsis

  • A 15-year-old high school basketball player suffered from chronic low back pain due to an osteoid osteoma found in the L5 region, which was identified through imaging.
  • Instead of a more invasive CT-guided ablation, the patient underwent a less invasive surgery involving tumor resection and bone grafting, successfully preserving surrounding spinal structures.
  • Post-surgery, the patient reported immediate relief from pain, resumed light exercise after two months, and maintained competitive basketball participation for over five years without recurrence or symptoms.

Article Abstract

This case report focuses on a 15-year-old competitive-level high school basketball player who experienced chronic low back pain. Diagnostic imaging revealed osteoid osteoma in the L5 posterior element, causing osteosclerotic deformity of the left lamina and more inferior facet. To return him to the condition of sports activity, less invasive surgery of microscopic tumor resection with autologous bone grafting was planned instead of CT-guided ablation, which can cause thermal injury to nearby tissues. This procedure could preserve spinal structures, including the facet, pedicle, and paravertebral muscles. The day after surgery, the patient experienced a complete resolution of lower back pain. He gradually resumed light exercise two months postoperatively. Three-month follow-up CT imaging revealed bone remodeling at the resection site, to return to complete basketball activities. Over five years, no tumor recurrence or symptoms were observed, and he maintained his competitive activity level.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626628PMC
http://dx.doi.org/10.7759/cureus.48351DOI Listing

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