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

  • How I Do it - Spine degenerative
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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.

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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
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  2. Alessandro Moiraghi
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  3. Karl Schaller
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  4. Enrico Tessitore
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Corresponding author

Correspondence to Gianpaolo Jannelli.

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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.

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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)

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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

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

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