Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 2/2013

01-02-2013 | Case Report

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

Authors: Wuilker Knoner Campos, MD, Alessandro Gasbarrini, MD, Stefano Boriani, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 2/2013

Login to get access

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.
Literature
1.
Al-Sayyad MJ, Crawford AH, Wolf RK. Early experiences with video-assisted thoracoscopic surgery: our first 70 cases. Spine (Phila Pa 1976). 2004;29:1945–1951; discussion 1952.
2.
Amendola L, Cappuccio M, Boriani L, Gasbarrini A. Endoscopic excision of C2 osteoid osteoma: a technical case report. Eur Spine J. 2012 Aug 7. [Epub ahead of print].
3.
Anand N, Regan JJ. Video-assisted thoracoscopic surgery for thoracic disc disease: classification and outcome study of 100 consecutive cases with a 2-year minimum follow-up period. Spine (Phila Pa 1976). 2002;27:871–879.
4.
Arand M, Schempf M, Hebold D, Teller S, Kinzl L, Gebhard F. [Precision of navigation-assisted surgery of the thoracic and lumbar spine][in German]. Unfallchirurg. 2003;106:899–906.PubMed
5.
Assaker R, Reyns N, Pertruzon B, Lejeune JP. Image-guided endoscopic spine surgery: Part II. Clinical applications. Spine (Phila Pa 1976). 2001;26:1711–1718.
6.
Bomback DA, Charles G, Widmann R, Boachie-Adjei O. Video-assisted thoracoscopic surgery compared with thoracotomy: early and late follow-up of radiographical and functional outcome. Spine J. 2007;7:399–405.PubMedCrossRef
7.
Burd TA, Pawelek L, Lenke LG. Upper extremity functional assessment after anterior spinal fusion via thoracotomy for adolescent idiopathic scoliosis: prospective study of twenty-five patients. Spine (Phila Pa 1976). 2002;27:65–71.
8.
Burn SC, Ansorge O, Zeller R, Drake JM. Management of osteoblastoma and osteoid osteoma of the spine in childhood. J Neurosurg Pediatr. 2009;4:434–438.PubMedCrossRef
9.
Chen W, Chen L, Qiang G, Chen Z, Jing J, Xiong S. Using an image-guided navigation system for localization of small pulmonary nodules before thoracoscopic surgery: a feasibility study. Surg Endosc. 2007;21:1883–1886.PubMedCrossRef
10.
Chen W, Chen L, Yang S, Chen Z, Qian G, Zhang S, Jing J. A novel technique for localization of small pulmonary nodules. Chest. 2007;131:1526–1531.PubMedCrossRef
11.
Crawford AH. Anterior surgery in the thoracic and lumbar spine: endoscopic techniques in children. Instr Course Lect. 2005;54:567–576.PubMed
12.
de la Torre-Gutierrez M, Martinez-Quinones JV, Escobar-Solis R, de la Torre-Gutierrez S. [Spinal neuronavigation: our experience][in Spanish]. Neurocirugia (Astur). 2001;12:490–498.
13.
Erlemann R. Imaging and differential diagnosis of primary bone tumors and tumor-like lesions of the spine. Eur J Radiol. 2006;58:48–67.PubMedCrossRef
14.
Gasbarrini A, Cappuccio M, Bandiera S, Amendola L, van Urk P, Boriani S. Osteoid osteoma of the mobile spine: surgical outcomes in 81 patients. Spine (Phila Pa 1976). 2011;36:2089–2093.
15.
Gebhard F, Weidner A, Liener UC, Stockle U, Arand M. Navigation at the spine. Injury. 2004;35(suppl 1):S-A35–45.
16.
Graham EJ, Lenke LG, Lowe TG, Betz RR, Bridwell KH, Kong Y, Blanke K. Prospective pulmonary function evaluation following open thoracotomy for anterior spinal fusion in adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2000;25:2319–2325.
17.
Janin Y, Epstein JA, Carras R, Khan A. Osteoid osteomas and osteoblastomas of the spine. Neurosurgery. 1981;8:31–38.PubMedCrossRef
18.
Kan P, Schmidt MH. Minimally invasive thoracoscopic approach for anterior decompression and stabilization of metastatic spine disease. Neurosurg Focus. 2008;25:E8.PubMedCrossRef
19.
Kan P, Schmidt MH. Osteoid osteoma and osteoblastoma of the spine. Neurosurg Clin N Am. 2008;19:65–70.PubMedCrossRef
20.
Kendoff D, Hufner T, Citak M, Geerling J, Mossinger E, Bastian L, Krettek C. Navigated Iso-C3D-based percutaneous osteoid osteoma resection: a preliminary clinical report. Comput Aided Surg. 2005;10:157–163.PubMed
21.
Khan SA, Thulkar S, Shivanand G, Kumar A, Varshney MK, Yadav CS, Rastogi S, Sharma DN. Computed tomography-guided radiofrequency ablation of osteoid osteomas. J Orthop Surg (Hong Kong). 2008;16:179–181.
22.
Kim JS, Lee SH, Seong JY, Kim KH, Jung B. Video-assisted thoracoscopic removal of ossified posterior longitudinal ligament (OPLL) in the thoracic spine: a case report. Minim Invasive Neurosurg. 2010;53:138–141.PubMedCrossRef
23.
Kim SJ, Sohn MJ, Ryoo JY, Kim YS, Whang CJ. Clinical analysis of video-assisted thoracoscopic spinal surgery in the thoracic or thoracolumbar spinal pathologies. J Korean Neurosurg Soc. 2007;42:293–299.PubMedCrossRef
24.
Kneisl JS, Simon MA. Medical management compared with operative treatment for osteoid-osteoma. J Bone Joint Surg Am. 1992;74:179–185.PubMed
25.
Liu GK, Kit WH. Video assisted thoracoscopic surgery for spinal conditions. Neurol India. 2005;53:489–498.PubMedCrossRef
26.
Lonner BS, Auerbach JD, Estreicher M, Milby AH, Kean KE, Panagopoulos G, Chang D. Video-assisted anterior thoracoscopic spinal fusion versus posterior spinal fusion: a comparative study utilizing the SRS-22 outcome instrument. Spine (Phila Pa 1976). 2009;34:193–198.
27.
McLain RF. Spinal cord decompression: an endoscopically assisted approach for metastatic tumors. Spinal Cord. 2001;39:482–487.PubMedCrossRef
28.
Mori K, Imai S, Saruhashi Y, Matsusue Y. Thoracoscopic en bloc extirpation for subperiosteal osteoid osteoma of thoracic vertebral body: a rare variety and its therapeutic consideration. Spine J. 2011;11:e13–18.PubMedCrossRef
29.
Motamedi D, Learch TJ, Ishimitsu DN, Motamedi K, Katz MD, Brien EW, Menendez L. Thermal ablation of osteoid osteoma: overview and step-by-step guide. Radiographics. 2009;29:2127–2141.PubMedCrossRef
30.
Nagashima H, Nishi T, Yamane K, Tanida A. Case report: osteoid osteoma of the C2 pedicle: surgical technique using a navigation system. Clin Orthop Relat Res. 2010;468:283–288.PubMedCrossRef
31.
32.
Rajasekaran S, Kamath V, Shetty AP. Intraoperative iso-C three-dimensional navigation in excision of spinal osteoid osteomas. Spine (Phila PA 1976). 2008;33:E25–29.
33.
Ropper AE, Cahill KS, Hanna JW, McCarthy EF, Gokaslan ZL, Chi JH. Primary vertebral tumors: a review of epidemiologic, histological, and imaging findings: Part I. Benign tumors. Neurosurgery. 2011;69:1171–1180.PubMedCrossRef
34.
Rosenthal DI, Hornicek FJ, Torriani M, Gebhardt MC, Mankin HJ. Osteoid osteoma: percutaneous treatment with radiofrequency energy. Radiology. 2003;229:171–175.PubMedCrossRef
35.
Schaffer V, Wegener B, Durr HR. Classical surgical resection of osteoid osteoma of the cervical spine. Acta Chir Belg. 2010;110:603–606.PubMed
36.
Spirn PW, Shah RM, Steiner RM, Greenfield AL, Salazar AM, Liu JB. Image-guided localization for video-assisted thoracic surgery. J Thorac Imaging. 1997;12:285–292.PubMedCrossRef
37.
St Clair SF, McLain RF. Posterolateral spinal cord decompression in patients with metastasis: an endoscopic assisted approach. Surg Technol Int. 2006;15:257–263.
38.
Sukan A, Kabatas S, Cansever T, Yilmaz C, Demiralay E, Altinors N. Osteoid osteoma in the thorasic spine. Turk Neurosurg. 2009;19:288–292.PubMed
39.
Tjardes T, Shafizadeh S, Rixen D, Paffrath T, Bouillon B, Steinhausen ES, Baethis H. Image-guided spine surgery: state of the art and future directions. Eur Spine J. 2010;19:25–45.PubMedCrossRef
40.
Van Royen BJ, Baayen JC, Pijpers R, Noske DP, Schakenraad D, Wuisman PI. Osteoid osteoma of the spine: a novel technique using combined computer-assisted and gamma probe-guided high-speed intralesional drill excision. Spine (Phila Pa 1976). 2005;30:369–373.
41.
Van Schil P. Cost analysis of video-assisted thoracic surgery versus thoracotomy: critical review. Eur Respir J. 2003;22:735–738.PubMedCrossRef
42.
Wang DJ, Yang J, Zhao JZ, Zhao YL. [Application of computer-assistant neuronavigation in spinal operation][in Chinese]. Zhonghua Yi Xue Za Zhi. 2004;84:1554–1557.PubMed
43.
Wells RG, Miller JH, Sty JR. Scintigraphic patterns in osteoid osteoma and spondylolysis. Clin Nucl Med. 1987;12:39–44.PubMedCrossRef
44.
Yanni DS, Connery C, Perin NI. Video-assisted thoracoscopic surgery combined with a tubular retractor system for minimally invasive thoracic discectomy. Neurosurgery. 2011;68(1 suppl operative):138–143; discussion 143.
45.
Zileli M, Cagli S, Basdemir G, Ersahin Y. Osteoid osteomas and osteoblastomas of the spine. Neurosurg Focus. 2003;15:E5.PubMed
Metadata
Title
Case Report: Curetting Osteoid Osteoma of the Spine Using Combined Video-assisted Thoracoscopic Surgery and Navigation
Authors
Wuilker Knoner Campos, MD
Alessandro Gasbarrini, MD
Stefano Boriani, MD
Publication date
01-02-2013
Publisher
Springer-Verlag
Published in
Clinical Orthopaedics and Related Research® / Issue 2/2013
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-012-2725-5

Other articles of this Issue 2/2013

Clinical Orthopaedics and Related Research® 2/2013 Go to the issue

Basic Research

Bacteria Adhere Less to Barbed Monofilament Than Braided Sutures in a Contaminated Wound Model

Clinical Research

Can a Triple Pelvic Osteotomy for Adult Symptomatic Hip Dysplasia Provide Relief of Symptoms for 25 Years?

Symposium: Papers Presented at the Annual Meetings of The Hip Society

Smoking May Be a Harbinger of Early Failure With Ultraporous Metal Acetabular Reconstruction

In Brief

Classifications in Brief: Schatzker Classification of Tibial Plateau Fractures

Symposium: Papers Presented at the Annual Meetings of The Hip Society

Outcomes of Minimally Invasive Anterolateral THA Are Not Superior to Those of Minimally Invasive Direct Lateral and Posterolateral THA

Editorial

Editorial: Let’s Talk About Level IV: The Bones of a Good Retrospective Case Series