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Summary of benign spine lesions and preferred treatment modalities

Benign Spine LesionRecommended Treatment Modality
Osteoid osteomaRadiofrequency ablation, laser ablation
OsteoblastomaCryoablation (if large or coexisting soft-tissue component)
Radiofrequency ablation, laser ablation
Aneurysmal bone cystCryoablation (due to involvement of posterior elements, soft-tissue component, and large size)
Cementation if extensive vertebral body involvement or pathologic fracture
Preablation embolization suggested
HemangiomaVertebral augmentation, alcohol ablation
Paget diseaseVertebral augmentation
Schmorl nodeVertebral augmentation