Authors: Wuilker Knoner Campos Alessandro Gasbarrini Stefano Boriani
Publish Date: 2012/12/05
Volume: 471, Issue: 2, Pages: 680-685
Abstract
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 painWe report the case of a 16yearold girl with a symptomatic osteoid osteoma at the T9 level whose lesion was currettaged using videoassisted thoracoscopic surgery VATS guided by a navigation system VATSNAV There were no complications and the patient had immediate relief of the characteristic pain after surgery and was asymptomatic at 5 months’ followupProgressive 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 exposureEach 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 articleEach 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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