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Clinical Orthopaedics and Related Research®

, Volume 471, Issue 2, pp 680–685 | Cite as

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

  • Wuilker Knoner CamposEmail author
  • Alessandro Gasbarrini
  • Stefano Boriani
Case Report

Abstract

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.

Keywords

Thoracic Spine Spinous Process Osteoid Osteoma Spinal Tumor Ossified Posterior Longitudinal Ligament 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

We thank Carlo Piovani for help in acquiring the images in this work.

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Copyright information

© The Association of Bone and Joint Surgeons® 2012

Authors and Affiliations

  • Wuilker Knoner Campos
    • 1
    Email author
  • Alessandro Gasbarrini
    • 1
  • Stefano Boriani
    • 1
  1. 1.Department of Oncologic and Degenerative Spine SurgeryRizzoli Orthopedic Institute – Bologna, ItalyBolognaItaly

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