Successful treatment of a bifocal XXXX of the spine with CT-guided corticosteroid injection.

@entity1 @entity1667 @entity1712 @entity158 @entity8745
Observation and immobilization is adequate for most @entity1 with spinal @entity1712 ; however, in @entity1 with symptomatic lesions, treatment other than simple observation or biopsy alone is recommended. In view of the benign clinical course of @entity1712 , a simple, minimally invasive, outpatient treatment with a low complication rate such as computed tomography (CT)-guided intralesional corticosteroid injection may be considered the treatment of choice. This article presents a case of a 21-year-old @entity1 with a symptomatic bifocal @entity1712 at the vertebral body of the L3 vertebra and the left T5 costovertebral joint treated effectively by CT-guided intralesional @entity1667 injection. To the best of our knowledge, this is the first case of successful treatment of a bifocal @entity1712 with CT-guided corticosteroid injection. Under general anesthesia and CT guidance, the lesion was located through the right transpedicular approach for the L3 lesion and the left posterolateral approach for the T5 lesion using a biopsy trocar. Tissue sample was retrieved and frozen section biopsy showed @entity1712 . One intralesional CT-guided injection of 80 mg (2 mL) of @entity8745 was performed in each lesion. Complications related to the procedure were not observed. The @entity1 was admitted postprocedural for overnight medical evaluation and was discharged from the hospital the next day. Complete resolution of @entity158 was observed 72 hours after the procedure. At 5 years after diagnosis and treatment, the @entity1 is asymptomatic; imaging showed healing of both lesions.
