Skip to main content

Advertisement

SpringerLink
Log in

Navigation assisted tubular resection of lumbar osteoid osteoma: how I do it

  • How I Do it - Spine degenerative
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Abstract

Background

Osteoid osteoma is a benign primary bony tumor involving the spinal posterior arches. Surgical treatment is reserved to patients with severe pain or not responding to nonsteroidal anti-inflammatory medications. We report a minimally invasive transmuscular resection of an L5 isthmic osteoid osteoma, assisted by intraoperative 3D-fluoroscopy-based navigation.

Methods

Navigation tracking reference is placed on the spinous process. A simil-scan with 3D-fluoroscopy is obtained to allow autoregistration for spinal navigation. Tubular transmuscular approach, directed to the ipsilateral isthmus and pedicle, is performed. Under navigation guidance, the lesion is identified and removed.

Conclusion

This technique is a safe and effective minimally invasive alternative to conventional surgical treatment of lumbar osteoid osteoma.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

Explore related subjects

Discover the latest articles, news and stories from top researchers in related subjects.

References

  1. De Filippo M, Russo U, Papapietro VR et al (2018) Radiofrequency ablation of osteoid osteoma. Acta Biomed. https://doi.org/10.23750/abm.v89i1-S.7021

  2. Dookie AL, Joseph RM (2020) Osteoid Osteoma. In: StatPearls. http://www.ncbi.nlm.nih.gov/pubmed/30725964. Accessed 10 Mar 2020

  3. Ebraheim NA, Lu J, Hao Y, Biyani A, Yeasting RA (1997) Anatomic considerations of the lumbar isthmus. Spine (Phila Pa 1976). https://doi.org/10.1097/00007632-199705010-00002

  4. Gadiya A, Shah K, Patel P, Nene A (2019) Osteoid osteoma of cervical spine: a case report and review of literature. J Orthop Case Rep 9(1):78–81

    PubMed  PubMed Central  Google Scholar 

  5. Kadhim M, Binitie O, O’Toole P, Grigoriou E, De Mattos CB, Dormans JP (2017) Surgical resection of osteoid osteoma and osteoblastoma of the spine. J Pediatr Orthop B. https://doi.org/10.1097/BPB.0000000000000406

  6. Kumar R, Chandrashekhar N, Bharathi Dasan J, Ashok S, Rastogi S, Gupta V, Hadi M, Choudhury S (2003) Recurrent osteoid osteoma: a case report with imaging features. Clin Imaging. https://doi.org/10.1016/S0899-7071(02)00550-8

  7. Muller PY, Carlioz H (1999) Recurrence or persistence of an osteoid osteoma: a case report. Rev Chir Orthop Reparatrice Appar Mot 85(1):69–74

    CAS  PubMed  Google Scholar 

  8. Noordin S, Allana S, Hilal K, Nadeem N, Lakdawala R, Sadruddin A, Uddin N (2018) Osteoid osteoma: Contemporary management. Orthop Rev (Pavia). https://doi.org/10.4081/or.2018.7496

  9. Prod’homme M, Cavalié G, Kerschbaumer G, Valmary-Degano S, Boudissa M, Tonetti J (2019) T1 vertebra pedicular osteoid Osteoma: minimally invasive surgical resection aided by new integrated navigation to 3D imaging device. Case Rep Orthop 2019:1–6

    Google Scholar 

  10. Tessitore E, De Tribolet N, Sonntag VKH, Benzel EC (2004) Far-lateral lumbar disc herniation: the microsurgical transmuscular approach. Neurosurgery. https://doi.org/10.1227/01.NEU.0000115154.62636.77

Download references

Author information

Authors and Affiliations

  1. Neurosurgical Unit, Faculty of Medicine, Geneva University Hospitals, University of Geneva, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland

    Gianpaolo Jannelli, Alessandro Moiraghi, Karl Schaller & Enrico Tessitore

  2. Service de Neurochirurgie, GHU Paris, Hôpital Sainte-Anne, F-75014, Paris, France

    Alessandro Moiraghi

Authors
  1. Gianpaolo Jannelli
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Alessandro Moiraghi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Karl Schaller
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Enrico Tessitore
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Gianpaolo Jannelli.

Ethics declarations

Conflict of interest

Gianpaolo Jannelli: none.

Alessandro Moiraghi: none.

Karl Schaller: none.

Enrico Tessitore: Training fees from: Spineart, Medtronic, Depuy Synthes, Nuvasive.

Consultancy fees from: BrainLab.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Spine degenerative

Electronic supplementary material

ESM 1

The video shows a brief description of clinical and radiological presentation of vertebral osteoid osteoma. Crucial steps of operative technique are meticulously presented. Patient consented to treatment of his medical records. (WMV 340784 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jannelli, G., Moiraghi, A., Schaller, K. et al. Navigation assisted tubular resection of lumbar osteoid osteoma: how I do it. Acta Neurochir 162, 2933–2937 (2020). https://doi.org/10.1007/s00701-020-04443-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00701-020-04443-1

Keywords

Search

Navigation