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Research ArticleMinimally Invasive Surgery

Full-Endoscopic Resection of Osteoid Osteoma in the Thoracic Spine: A Case Report

João Paulo Machado Bergamaschi, Carlos Alberto Montovani Costa and Luiz Henrique Sandon
International Journal of Spine Surgery February 2021, 14 (s4) S78-S86; DOI: https://doi.org/10.14444/7169
João Paulo Machado Bergamaschi
1Clínica Atualli Spine Care, São Paulo, Brazil
MD
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Carlos Alberto Montovani Costa
2Clínica Orthos, Piracicaba, Brazil
MD
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Luiz Henrique Sandon
3Clínica Atualli Spine Care, São Paulo, Brazil
MD
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    Figure 1

    (A) Axial computed tomography of the spine. The image shows absence of the right T11 pedicle, its space being replaced by cell attenuation coefficient material. (B) Axial T2-weighted magnetic resonance image. The image shows the right T11 pedicle with local hypersignal, indicating spondylolysis without signs of listesis.

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    Figure 2

    Bone scintigraphy. The image shows a slight increase in osteoblastic activity on the right edge of the T11 vertebra.

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    Figure 3

    Panoramic radiography. The image shows dextrochondral scoliosis with a 20° Cobb angle.

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    Figure 4

    Positioning the working cannula at the extraforaminal T10/T11 endoscopic approach.

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    Figure 5

    Intraoperative endoscopic images. (A) Initial image of the extraforaminal access, with view of the lateral border of the pedicle and the lower part of the foramen T10/T11 on the right. (B) Beginning of foraminoplasty and bone resection of the T11 upper right joint process using a foraminoplasty burr. (C) Macroscopic aspect of pathological bone tissue. (D) Lateral image of the central canal and the right T11 pedicle partially resected.

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    Figure 6

    The conclusion of bone resection. Keeping the inferior cortical bone of the right T11 pedicle intact, local hemostasis, and bipolar cauterization of all beds and residual trabecular tissue are reviewed.

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    Figure 7

    An 8-mm skin incision is made ∼50 mm lateral to the midline at the height of the right T10/T11.

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    Figure 8

    Imaging at the first year. (A) Axial spine computed tomography and (B) coronal spine computed tomography, without radiological signs of lesion recurrence.

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International Journal of Spine Surgery
Vol. 14, Issue s4
1 Feb 2021
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Full-Endoscopic Resection of Osteoid Osteoma in the Thoracic Spine: A Case Report
João Paulo Machado Bergamaschi, Carlos Alberto Montovani Costa, Luiz Henrique Sandon
International Journal of Spine Surgery Feb 2021, 14 (s4) S78-S86; DOI: 10.14444/7169

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Full-Endoscopic Resection of Osteoid Osteoma in the Thoracic Spine: A Case Report
João Paulo Machado Bergamaschi, Carlos Alberto Montovani Costa, Luiz Henrique Sandon
International Journal of Spine Surgery Feb 2021, 14 (s4) S78-S86; DOI: 10.14444/7169
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Keywords

  • osteoid osteoma
  • minimally invasive
  • endoscopic surgery
  • bone tumor
  • spine

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