Full endoscopic resection of a lumbar osteoblastoma: Technical note Journal Article

  


Authors: Newman, W. C.; Vaynrub, M.; Bilsky, M. H.; Laufer, I.; Barzilai, O.
Article Title: Full endoscopic resection of a lumbar osteoblastoma: Technical note
Abstract: Osteoblastomas are a rare, benign primary bone tumor accounting for 1% of all primary bone tumors, with 40% occurring within the spine. Gross-total resection (GTR) is curative, although depending on location, this can require destabilization of the spine and necessitate instrumented fixation. Through the use of minimally invasive, muscle-sparing approaches, these lesions can be resected while maintaining structural integrity of the spine. The authors present a case report and technical note of a single patient describing the use of a purely endoscopic technique to resect a right L5 superior articulating process osteoblastoma in a 45-year-old woman. The patient underwent an image-guided endoscopic resection of her superior articulating facet osteoblastoma. Intraoperative CT demonstrated GTR. On postoperative examination, she remained neurologically intact with resolution of her pain. At follow-up, she remained pain free. Resection of lumbar osteoblastoma through a fully endoscopic approach was a safe and effective technique in this patient. This technique allowed for GTR without compromising spinal structural integrity, thus eliminating the need for instrumented fixation. © 2020 AANS.
Keywords: adult; clinical article; middle aged; surgical technique; case report; follow up; computer assisted tomography; oncology; conservative treatment; endoscopic surgery; physical activity; spine tumor; antiinflammatory agent; spiral computer assisted tomography; osteoblastoma; radiculopathy; gross total resection; human; female; article; thoracolumbar spine; minimally invasive spine surgery; spinal endoscopy; stereotactic navigation
Journal Title: Journal of Neurosurgery: Spine
Volume: 33
Issue: 2
ISSN: 1547-5654
Publisher: American Association of Neurological Surgeons  
Date Published: 2020-01-01
Start Page: 252
End Page: 255
Language: English
DOI: 10.3171/2020.2.Spine191091
PUBMED: 32244220
PROVIDER: scopus
DOI/URL:

https://www.scopus.com/inward/record.uri?eid=2-s2.0-85089719549&doi=10.3171%2f2020.2.SPINE191091&partnerID=40&md5=c0315536d3a9380101b108f465a76e47
Notes: Article -- Export Date: 1 September 2020 -- Source: Scopus
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MSK Authors
  1. Mark H Bilsky
    319 Bilsky
  2. Ilya Laufer
    146 Laufer
  3. Ori Barzilai
    73 Barzilai
  4. Maksim Vaynrub
    36 Vaynrub
  5. William Christopher Newman
    24 Newman
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