Surgical resection of osteoid osteoma and osteoblastoma of the spine

Kadhim, Muayad; Binitie, Odion; O’Toole, Patrick; Grigoriou, Emmanouil; Mattos, Camila Bonati; Dormans, John P.

doi:10.1097/bpb.0000000000000406

Cited by 31 publications

(23 citation statements)

References 31 publications

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“…Literature shows that the rate of recurrence of OO is higher after intralesional resection compared with en bloc resection. [ 3 , 5 ] We did not have any recurrence in our series. No patient deteriorated neurologically after surgical excision.…”

Section: Discussionmentioning

confidence: 59%

“…Surgical intralesional excision has been the commonly accepted treatment for a long time. [ 3 , 5 ] The goal of OO surgery is to remove the nidus entirely without causing pathologic fracture, especially of the facets and pedicles or disrupting the adjacent uninvolved tissues. The posterior approach was carried out in all the surgical patients.…”

Section: Discussionmentioning

confidence: 99%

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Spinal osteoid osteoma: Surgical resection and review of literature

Mallepally¹,

Mahajan²,

Pacha³

et al. 2020

Surgical Neurology International

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Background: Osteoid osteoma (OO) is a rare benign tumor of the spine that involves the posterior elements with 75% tumors involving the neural arch. The common presenting symptoms include back pain, deformity like scoliosis, and rarely radiculopathy. Methods: From 2011 to 2017, we evaluated cases of OO managed by posterior surgical resection while also reviewing the appropriate literature. Results: We assessed five patients (three males and two females) averaging 36.60 years of age diagnosed with spinal OOs. Two involved the lumbar posterior elements, two were thoracic, and one was in the C3 lateral mass. All patients underwent histopathological confirmation of OO. They were managed by posterior surgical resection with/without stabilization. No lesions recurred over the minimum follow-up period of 24 months. Conclusion: Surgical excision is the optimal treatment modality for treating spinal OOs. The five patients in this study demonstrated good functional outcomes without recurrences. Further, the literature confirms that the optimal approach to these tumors is complete surgical excision with/without radiofrequency ablation.

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Spinal osteoid osteoma: Surgical resection and review of literature

Mallepally¹,

Mahajan²,

Pacha³

et al. 2020

Surgical Neurology International

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“…Rajasekaran et al reported a slightly higher mean operative time of 74 minutes and a similar length of the incision (3-4 cm), with a complete resection in all cases [12]. Kadhim et al performed a resection under O-arm or C-arm both associated with the navigation [13]. They reported a mean operative time of 123 minutes and a complete resection confirmed intraoperatively by a reacquisition in each case.…”

Section: Discussionmentioning

confidence: 99%

T1 Vertebra Pedicular Osteoid Osteoma: Minimally Invasive Surgical Resection Aided by New Integrated Navigation to 3D Imaging Device

Prod’homme

Cavalié

Kerschbaumer

et al. 2019

Case Reports in Orthopedics

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We hereby describe a minimally invasive resection of a T1 pedicular osteoid osteoma next to the vertebral canal. The patient had an 18-month report of painful radiculopathy. We performed the surgery under 3D imaging guidance using navigation with an all-in-one device. Full procedure irradiation was 1.17 mSv for a 181-picture acquisition. Complete operative time incision to closure was 58 minutes. Despite sparing the vertebral stability without any fixation, the tumor resection was well-margined, thanks to the focused guidance. After surgery, the patient had complete relief of his symptoms at the 6-month follow-up. 3D imaging system coupled to navigation made the procedure safe without consuming time. The single Surgivisio® device allows comfortable 3D minimally invasive spine navigation surgery with the ergonomics of a C-arm.

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“…Intraoperative localization and identification of the nidus guided by CT or 99mTc have been reported (6). Additionally, intraoperative radiographic guidance through 2-D navigation with the C-arm and recently with 3-D navigation with the Oarm has been also described (71,72).…”

Section: Treatmentmentioning

confidence: 99%

Osteoid Osteoma: An Updated Review of Epidemiology, Pathogenesis, Clinical Presentation, Radiological Features, and Treatment Option

TEPELENIS

SKANDALAKIS

PAPATHANAKOS

et al. 2021

In Vivo

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Osteoid osteoma, the third most common benign bone tumor, usually occurs in the cortex of long bones. It consists of a radiolucent nidus surrounded by reactive osteosclerosis. Generally, osteoid osteoma affects young males. Nocturnal pain that eases with salicylates or nonsteroidal anti-inflammatory drugs (NSAID) is the typical clinical presentation. Sometimes, it remains undiagnosed for a long time. Plain radiography and computed tomography are usually sufficient for the diagnosis of osteoid osteoma. Initial treatment includes salicylates and NSAID because the tumor often regresses spontaneously over 2-6 years. Surgical treatment is indicated in case of unresponsive pain to medical therapy, no tolerance of prolonged NSAID therapy due to side effects, and no willingness to activity limitations. Nowadays, minimally invasive techniques have replaced open surgery and are considered the gold standard of surgical treatment. Although cryoablation seems superior in terms of the nerve damage and immunotherapy effect, radiofrequency ablation is the preferred technique.

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Surgical resection of osteoid osteoma and osteoblastoma of the spine

Abstract: III.

Cited by 31 publications

References 31 publications

Spinal osteoid osteoma: Surgical resection and review of literature

Spinal osteoid osteoma: Surgical resection and review of literature

T1 Vertebra Pedicular Osteoid Osteoma: Minimally Invasive Surgical Resection Aided by New Integrated Navigation to 3D Imaging Device

Osteoid Osteoma: An Updated Review of Epidemiology, Pathogenesis, Clinical Presentation, Radiological Features, and Treatment Option

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