The therapeutic armamentarium for osteoid osteoma ranges from conserva
tive therapy to aggressive surgical excision. Four cases, in patients
aged eight to 16 years, were treated by percutaneous drill resection o
f the nidus under computed tomography guidance. Advantages of this met
hod Include a smaller amount of bone tissue lost, a smaller scar, a sh
orter hospital stay, and faster resumption of full weight-bearing. Per
cutaneous drill resection is the method of choice for osteoid osteomas
that measure no more than 10 mm in diameter and can be removed in a s
ingle step.