Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with localized, dull, aching spinal pain, typically worse at night but often less responsive to NSAIDs compared to osteoid osteoma. Symptoms include progressive localized tenderness, potential radiculopathy if neural elements are compressed, and occasional mechanical instability. Duration of symptoms is [Duration], with no constitutional symptoms or history of trauma.
Clinical Examination Findings
Physical examination reveals localized paraspinal tenderness at the level of [Level]. Range of motion is restricted due to pain/muscle spasm. Neurological assessment: motor strength [Grade/5], sensory intact to light touch, deep tendon reflexes [Grade], and negative provocative tests for radiculopathy. Gait is [Normal/Antalgic].
Treatment Protocol
Treatment plan: Surgical excision is the gold standard, ranging from intralesional curettage to en bloc resection depending on spinal stability and neural involvement. Adjunctive stabilization/fusion may be required if resection compromises structural integrity. Post-operative monitoring for recurrence and neurological status is mandatory.