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

  • Case Report
  • Published:
Clinical Orthopaedics and Related Research®

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.

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Acknowledgments

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

Author information

Authors and Affiliations

  1. Department of Oncologic and Degenerative Spine Surgery, Rizzoli Orthopedic Institute – Bologna, Italy, Via G.C. Pupilli, 1-40136, Bologna, Italy

    Wuilker Knoner Campos MD, Alessandro Gasbarrini MD & Stefano Boriani MD

Authors
  1. Wuilker Knoner Campos MD
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  2. Alessandro Gasbarrini MD
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  3. Stefano Boriani MD
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Corresponding author

Correspondence to Wuilker Knoner Campos MD.

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Each author certifies that he or she, or a member of his or her immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.

All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research editors and board members are on file with the publication and can be viewed on request.

Each author certifies that his or her institution approved the reporting of this case report, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained.

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Campos, W.K., Gasbarrini, A. & Boriani, S. Case Report: Curetting Osteoid Osteoma of the Spine Using Combined Video-assisted Thoracoscopic Surgery and Navigation. Clin Orthop Relat Res 471, 680–685 (2013). https://doi.org/10.1007/s11999-012-2725-5

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