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Research ArticleEndoscopic Minimally Invasive Surgery

Endoscopic Techniques for Spinal Oncology: A Systematic Literature Review

Rohaid Ali, Matthew J. Hagan, Elias Shaaya, Owen P. Leary, Joshua Feler, Ankush Bajaj, Ziya Gokaslan, Sanjay Konakondla, Mark A. Mahan, Ralf Wagner, Kai-Uwe Lewandrowski and Albert E. Telfeian
International Journal of Spine Surgery November 2022, 8412; DOI: https://doi.org/10.14444/8412
Rohaid Ali
1 Warren Alpert School of Medicine of Brown University, Providence, RI, USA
2 Department of Neurosurgery, Warren Alpert School of Medicine of Brown University, Providence, RI, USA
MD
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Matthew J. Hagan
1 Warren Alpert School of Medicine of Brown University, Providence, RI, USA
BS
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Elias Shaaya
1 Warren Alpert School of Medicine of Brown University, Providence, RI, USA
2 Department of Neurosurgery, Warren Alpert School of Medicine of Brown University, Providence, RI, USA
MD
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Owen P. Leary
1 Warren Alpert School of Medicine of Brown University, Providence, RI, USA
2 Department of Neurosurgery, Warren Alpert School of Medicine of Brown University, Providence, RI, USA
BS
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Joshua Feler
1 Warren Alpert School of Medicine of Brown University, Providence, RI, USA
2 Department of Neurosurgery, Warren Alpert School of Medicine of Brown University, Providence, RI, USA
MD
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Ankush Bajaj
1 Warren Alpert School of Medicine of Brown University, Providence, RI, USA
BS
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Ziya Gokaslan
1 Warren Alpert School of Medicine of Brown University, Providence, RI, USA
2 Department of Neurosurgery, Warren Alpert School of Medicine of Brown University, Providence, RI, USA
MD
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Sanjay Konakondla
3 Geisinger, 100 North Academy Ave. Danville, PA, USA
MD
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Mark A. Mahan
4 University of Utah, Salt Lake City, UT, USA
MD
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Ralf Wagner
5 Ligamenta Spine Center, Frankfurt am Main, Germany
MD
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Kai-Uwe Lewandrowski
6 Center for Advanced Spine Care of Southern Arizona, The Surgical Institute of Tucson, Tucson, AZ, USA
MD
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Albert E. Telfeian
1 Warren Alpert School of Medicine of Brown University, Providence, RI, USA
2 Department of Neurosurgery, Warren Alpert School of Medicine of Brown University, Providence, RI, USA
MD, PHD
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  • For correspondence: atelfeian@lifespan.org
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    Figure 1

    Images from a pediatric case of a ventral epidural thoracic Ewing-like tumor. Panels A and B show sagittal and axial T1 postcontrast magnetic resonance imaging of the thoracic spine with evidence of tumor recurrence in the ventral epidural region. Panels C to F show intraoperative fluoroscopic images. Panel G is an image from the operating room setup. Panels H and I are intraoperative images of the tumor debulking. Source: Figure reprinted with permission from Telfeian AE, Choi DB, Aghion DM. Transforaminal endoscopic surgery under local analgesia for ventral epidural thoracic spinal tumor: case report. Clin Neurol Neurosurg. 2015;134:1–3. doi:10.1016/j.clineuro.2015.03.022.

  • Figure 2
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    Figure 2

    Images from the case of a 75-year-old patient with metastatic nonsmall cell lung cancer. Panels A and B show a magnetic resonance imaging demonstrating a metastatic focus at the left L5-S1 foramen compressing the exiting left L5 nerve. Panels C and D show intraoperative fluoroscopic imaging localizing this region. Source: Figure reprinted with permission fromTelfeian AE, Oyelese A, Fridley J, Doberstein C, Gokaslan ZL. Endoscopic surgical treatment for symptomatic spinal metastases in long-term cancer survivors. J Spine Surg. 2020;6(2):372-382. doi:10.21037/jss.2019.10.14.

  • Figure 3
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    Figure 3

    Images from the case of a 76-year-old patient with metastatic prostate cancer status after radiation. Panels A to C demonstrate a magnetic resonance imaging showing a fracture fragment from the L5 superior endplate compressing the traversing L5 nerve root. Panels D to F show intraoperative fluoroscopic localization, and panel G shows intraoperative tumor debulking. Panel H demonstrates the decompressed traversing L5 nerve root. Source: Figure reprinted with permission from Telfeian AE, Oyelese A, Fridley J, Doberstein C, Gokaslan ZL. Endoscopic surgical treatment for symptomatic spinal metastases in long-term cancer survivors. J Spine Surg. 2020;6(2):372-382. doi:10.21037/jss.2019.10.14.

  • Figure 4
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    Figure 4

    Images from the case of an 86-year-old patient with metastatic prostate cancer. Panel A shows severe left L3-L4 stenosis on magnetic resonance imaging (site marked with arrow), and panels B and C demonstrate intraoperative fluoroscopy localizing to the correct level prior to debulking. Source: Figure reprinted with permission from Telfeian AE, Oyelese A, Fridley J, Doberstein C, Gokaslan ZL. Endoscopic surgical treatment for symptomatic spinal metastases in long-term cancer survivors. J Spine Surg. 2020;6(2):372-382. doi:10.21037/jss.2019.10.14.

Tables

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    Table

    Reports of endoscopic spinal oncology surgery in the literature.

    InterventionAuthorsPatients (n)Additional Information
    BiopsyKonakondla et al (2020)15 1Large B-cell non-Hodgkin lymphoma
    Konakondla et al (2021)14 1Pediatric; paraganglioma
    Adjunct during open surgeryMcLain (2001)14 9Thoracic pathology
    DebulkingTelfeian et al (2015)15 and Telfeian et al (2020)17 4Resolved radicular pain
    Tsai et al (2018)19 1Sacral metastasis
    Gao et al (2019)20 1Bilateral decompression
    Definitive resectionSenturk et al (2019)16 1Meningioma
    Newman et al (2020)18 1Osteoblastoma
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International Journal of Spine Surgery: 19 (S2)
International Journal of Spine Surgery
Vol. 19, Issue S2
1 Apr 2025
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Endoscopic Techniques for Spinal Oncology: A Systematic Literature Review
Rohaid Ali, Matthew J. Hagan, Elias Shaaya, Owen P. Leary, Joshua Feler, Ankush Bajaj, Ziya Gokaslan, Sanjay Konakondla, Mark A. Mahan, Ralf Wagner, Kai-Uwe Lewandrowski, Albert E. Telfeian
International Journal of Spine Surgery Nov 2022, 8412; DOI: 10.14444/8412

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Endoscopic Techniques for Spinal Oncology: A Systematic Literature Review
Rohaid Ali, Matthew J. Hagan, Elias Shaaya, Owen P. Leary, Joshua Feler, Ankush Bajaj, Ziya Gokaslan, Sanjay Konakondla, Mark A. Mahan, Ralf Wagner, Kai-Uwe Lewandrowski, Albert E. Telfeian
International Journal of Spine Surgery Nov 2022, 8412; DOI: 10.14444/8412
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Keywords

  • endoscopic decompression
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