Endoscopic excision of C2 Osteoid Osteoma: a technical case report

Amendola, Luca; Cappuccio, Michele; Boriani, Luca; Gasbarrini, A.

doi:10.1007/s00586-012-2467-9

Cited by 14 publications

(14 citation statements)

References 21 publications

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“…Mori et al [28] in 2011 described en bloc extirpation for an osteoid osteoma of a thoracic vertebral body through a thoracoscopic approach (without NAV). Our experience with endoscopic excision of spinal osteoid osteomas was reported [2,14], but we had not yet used the NAV system.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Curetting Osteoid Osteoma of the Spine Using Combined Video-assisted Thoracoscopic Surgery and Navigation

Campos

Gasbarrini

Boriani

2013

Clinical Orthopaedics &Amp; Related Research

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Background A spinal osteoid osteoma is a rare benign tumor. The usual treatment involves complete curettage including the nidus. In the thoracic spine, conventional open surgical treatment usually carries relatively high surgical risks because of the close anatomic relationship to the spinal cord, nerve roots, and thoracic vessels, and pulmonary complications and postoperative pain. Case Report We report the case of a 16-year-old girl with a symptomatic osteoid osteoma at the T9 level whose lesion was currettaged using video-assisted thoracoscopic surgery (VATS) guided by a navigation system (VATS-NAV). There were no complications and the patient had immediate relief of the characteristic pain after surgery and was asymptomatic at 5 months' followup. Literature Review Progressive advances in the technology of spinal surgery have evolved to offer greater safety and less morbidity for patients. The advent of minimally invasive surgery has expanded the indications for VATS for anterior spinal disorders. Spinal navigation systems have become useful tools allowing localization and excision of the nidus of osteoid osteomas with minimal bone resection and without radiation exposure. Clinical Relevance The VATS-NAV combination in our patient allowed accurate localization and guidance for complete excision of a spinal osteoid osteoma through a minimally invasive approach without compromising spinal stability.

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Section: Discussionmentioning

confidence: 99%

Case Report: Curetting Osteoid Osteoma of the Spine Using Combined Video-assisted Thoracoscopic Surgery and Navigation

Campos

Gasbarrini

Boriani

2013

Clinical Orthopaedics &Amp; Related Research

Self Cite

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“…1,2,18 Endoscopic surgery for excision of the spinal OO minimizes the morbidity associated with other surgical techniques. 19 Many reports following this approach in the cervical, thoracic, and lumbar spine have shown successful results with low complications. 3,[19][20][21][22][23] Kalkarni et al reported an OO case involving C2 lamina and lateral mass, which was completely excised with microendoscopic excisional biopsy, with excellent pain relief without compromising the stability.…”

Section: Discussionmentioning

confidence: 99%

Remodeling of the Lumbar Facet Joint After Full Endoscopic Resection for Lumbar Osteoid Osteoma: Case Report and Literature Review

et al. 2022

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Background: Osteoid osteoma (OO) is a common benign bone tumor; however, approximately 25% of cases have spine involvement. It is often treated by image-guided radiofrequency ablation to break down the nidus. Few reports have described full endoscopic resection of the lesion, but none have described postoperative remodeling of the lumbar facet joint after surgical resection of an OO. The study aimed to describe a rare case of remodeling of the lumbar facet joint and then delineate the least invasive surgical technique of endoscopic resection of an OO.Methods: A 26-year-old man presented with severe left buttock pain and sciatica that worsened at night and was relieved by ibuprofen. Magnetic resonance imaging indicated a left inferior facet of an L3 mass-like lesion. A thin-section computed tomography image revealed a nidus, which was compatible with an OO. Full endoscopic resection was performed to completely remove the nidus of the OO.Results: At the 2-year follow-up, the patient was symptom-free and computed tomography images indicated new bone formation.Conclusions: The present case and literature review demonstrate that endoscopic resection is safe and effective for managing a posterior element of lumbar OO. Furthermore, this technique allows complete removal of the nidus with minimal damage to surrounding structures and leads to remodeling of the resection site.Clinical Relevance: Patients with OO involving the posterior element of the spine can present with buttock and radicular pain, mimicking lumbar disc herniation. OO can be successfully removed by the full endoscopic method and remodeling of the resected site can be anticipated.Level of Evidence: 4.

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“…Tubular techniques are commonly used for posterior based approaches but expandable tubular retractors are particularly handy when doing anterior cervical spine fusion surgeries in cases of myelopathy and radiculopathy. They reduce the pressure of retraction and risk of iatrogenic injury to viscera, cause less postoperative pain and dysphagia, and better cosmesis with small scar 39) . Microscopic anterior cervical discectomy and fusion (ACDF), anterior cervical corpectomy and fusion (ACCF) can be done with help of tubular retractors.…”

Section: Cervical Spine-hnp Radiculopathy and Myelopathymentioning

confidence: 99%

Full Endoscopic Spine Surgery in the View of Tubular Endoscopic Spine Surgery

Kulkarni

Yeshwanth

2021

J Minim Invasive Spine Surg Tech

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Integration of technological advancements across multiple modalities enabled different surgical specialties to embrace various minimally invasive approaches. Such advancements related to spine surgery are gaining popularity due to focal nature of majority of the spine pathologies. Tubular retractors of various types and dimensions have proved their worth by giving very good results when used with either microscope or endoscope. They enable surgical decompression and fusion with minimal alteration of the normal musculoligamentous anatomy of back and have proven their versatility by delivering excellent outcomes for different conditions. The evolution of the techniques of full endoscopy opened new paths which seem promising to further refinement of spine surgery. This progress has brought us to the crossroads of either carrying out the satisfactory techniques of tubular retractors or to try something different by taking another steep learning curve and shifting to full endoscopic techniques. It has to be seen whether the transition to full endoscopic intervention is worth exploring new horizons by taking a longer trajectory of learning when similar advantages are being achieved by existing tubular techniques. In this report, we discuss the pathologies dealt with and the changing trends for developing to full endoscopic techniques under the experience of tubular endoscopic spine surgery.

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Endoscopic excision of C2 Osteoid Osteoma: a technical case report

Cited by 14 publications

References 21 publications

Case Report: Curetting Osteoid Osteoma of the Spine Using Combined Video-assisted Thoracoscopic Surgery and Navigation

Case Report: Curetting Osteoid Osteoma of the Spine Using Combined Video-assisted Thoracoscopic Surgery and Navigation

Remodeling of the Lumbar Facet Joint After Full Endoscopic Resection for Lumbar Osteoid Osteoma: Case Report and Literature Review

Full Endoscopic Spine Surgery in the View of Tubular Endoscopic Spine Surgery

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