Motion preservation surgery: excision of juxta C5–C6 intervertebral disc osteoid osteoma using 3D C-arm based navigation: technical report

Kulkarni, Arvind G; Patel, Ankit

doi:10.1051/sicotj/2018052

Cited by 6 publications

(3 citation statements)

References 20 publications

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“…As a result, postoperative complications are reduced, and patients experience shorter hospitalization periods. Kulkarni et al 17 utilized C‐arm‐based three‐dimensional navigation and endoscopy to precisely resect osteoid osteoma in C5–C6 vertebral bodies. The combination of intraoperative scanning and optical navigation allowed accurate curettage of the tumor while preserving the cervical motion segment.…”

Section: Technical Advantages Of Computer‐assisted Navigation Fully V...mentioning

confidence: 99%

Computer‐Assisted Navigation Full Visualization Spinal Endoscopic Surgery for Lumbar Vertebral Osteoid Osteoma

Liu

Tian

Yuan

et al. 2023

Orthopaedic Surgery

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BackgroundOsteoid osteoma is a benign osteogenic tumor that occurs mostly in the femoral stem, while osteoid osteoma occurring in the lumbar vertebral body is a relatively rare case. To minimize treatment‐related complications, a computer‐assisted navigation fully visualized spinal endoscopy was used. Ultimately, the pathology was diagnosed as osteoid osteoma.Case PresentationWe report a 19‐year‐old adult male with low back pain that worsened at night and CT, MRI imaging showed an abnormal signal shadow at the posterior margin of the lumbar vertebral body. Due to the proximity of the lesion to the spinal canal and adjacent to the nerve roots, it was difficult to precisely localize the lesion by purely endoscopic or open procedures, and if necessary, the resection of surrounding tissues had to be expanded, causing unnecessary damage to the surrounding tissues. Therefore, we choose computer‐assisted navigation fully visualized spinal endoscopy to perform the treatment.ConclusionIn this case, we report an osteoid osteoma that occurs less frequently in the lumbar vertebral body. Using computer‐assisted navigation with fully visualized spinal endoscopy, we successfully resected the osteoid osteoma at the posterior margin of the L3 vertebral body preoperatively by computer‐planned path with intraoperative visualization endoscopy, minimizing the damage to spinal stability. Computer‐assisted navigation with visualization endoscopy provides a more precise and minimally invasive approach to the treatment of osteoid osteoma of the spine.

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Section: Technical Advantages Of Computer‐assisted Navigation Fully V...mentioning

confidence: 99%

Computer‐Assisted Navigation Full Visualization Spinal Endoscopic Surgery for Lumbar Vertebral Osteoid Osteoma

Liu

Tian

Yuan

et al. 2023

Orthopaedic Surgery

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“…Reinhold et al described custom-made guidance, which in combination with conventional fluoroscopy, improved CPS placement. 9,10 Although navigation systems have been demonstrated to be highly reliable, those using such systems should be aware of their limitations, [11][12][13] which include hardware, software, and human failure, and changes in intersegmental relationships between vertebral segments during registration and actual positioning during surgery, especially in settings of traumatic or degenerative instability. In addition, the high costs of navigation systems limit their use by spine surgeons.…”

Section: Introductionmentioning

confidence: 99%

Safety and Efficacy of Intraoperative Doppler Sonography-Assisted Cervical Pedicle Screw Fixation—A Retrospective Comparison with Conventional Pedicle Screw Implantation

Lee

Park

Lee

et al. 2022

Global Spine Journal

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Study Design A Retrospective Cohort Study. Objective To introduce a new Doppler sonography-assisted pedicle screw fixation technique that enables vertebral artery (VA) monitoring during surgery and compares the accuracies of Doppler sonography-assisted cervical pedicle screw fixation and the conventional technique. Methods This retrospective study was performed on 164 consecutive patients that underwent pedicle-based screw fixation from C2 to C6 between January 2013 and August 2020. Surgery was performed without intraoperative Doppler sonography in 84 cases (the Control group) or with intraoperative Doppler sonography in 80 cases (the Doppler group). Proper positioning of pedicle screws was graded, and the incidences of VA injury and screw breach in the Control and Doppler groups were compared. Results Three hundred and ninety-nine screws were placed in the 164 patients (Doppler, 186 screws; Control, 213 screws). The percentages of well-positioned screws in the two groups were significantly different (Doppler, 97.8%; Control, 85.0%). There were two cases of VA injury in the Control group, an incidence of 2.4%, but no case in the Doppler group. Conclusion Doppler sonography can be used intraoperatively to help guide the trajectory of the cervical pedicle screw insertion. It can detect the VA inside the screw trajectory and may reduce the risk of VA injury during cervical pedicle screw fixation.

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“…8 However, there is general agreement that complete excision is the treatment of choice and incomplete nidus removal leads to recurrence of symptoms. 9 There are several approaches to remove a lesion in the femoral head and neck. Strong et al described three routes to access a femoral neck lesion.…”

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confidence: 99%

Resection of Femoral Head–Neck Junction Osteoid Osteoma via Minimally Invasive Direct Anterior Approach: A Case Series and Review of Literature

Moharrami

Razzaghof

Kaseb

et al. 2022

The Journal of Hip Surgery

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Our aim was to introduce a new minimally invasive approach for surgical excision of femoral head–neck junction osteoid osteoma (FHNJOO) and review the available literature regarding its clinical manifestations and treatment methods. We included nine patients with FHNJOO in this series, who underwent resection via the minimally invasive direct anterior approach (DAA), from January 2010 to 2013. The functional outcomes were hip range of motion (ROM), visual analogue scale for pain (VAS), and Harris hip score (HHS), which were assessed pre- and postoperatively at 3 months at the last follow-up. We had nine patients with a mean age of 17.25 ± 6.75 years. The mean diagnosis delay was 23.56 ± 4.67 months. We had a mean follow-up of 93.67 ± 18.02 months. The hip ROM, VAS, and HHS were significantly improved from 97.78 ± 8.70 degrees to 121.11 ± 4.86 degrees, 63.93 ± 10.47 to 99.11 ± 1.76 degrees, and 7.3 ± 1.5 to 0.1 ± 0.3 degrees at 3-month and the last follow-up, respectively (p < 0.001). We observed no recurrence or complications. The minimally invasive DAA approach for surgical resection of FHNJOO can provide immediate pain relief and improve hip functional scores with no complication or recurrence on long-term follow-up. It provides easy and complete access to the lesion and causes no morbidity due to minimal dissection.

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Motion preservation surgery: excision of juxta C5–C6 intervertebral disc osteoid osteoma using 3D C-arm based navigation: technical report

Cited by 6 publications

References 20 publications

Computer‐Assisted Navigation Full Visualization Spinal Endoscopic Surgery for Lumbar Vertebral Osteoid Osteoma

Computer‐Assisted Navigation Full Visualization Spinal Endoscopic Surgery for Lumbar Vertebral Osteoid Osteoma

Safety and Efficacy of Intraoperative Doppler Sonography-Assisted Cervical Pedicle Screw Fixation—A Retrospective Comparison with Conventional Pedicle Screw Implantation

Resection of Femoral Head–Neck Junction Osteoid Osteoma via Minimally Invasive Direct Anterior Approach: A Case Series and Review of Literature

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