RT Journal Article
SR Electronic
T1 Full-Endoscopic Resection of Osteoid Osteoma in the Thoracic Spine: A Case Report
JF International Journal of Spine Surgery
JO Int J Spine Surg
FD International Society for the Advancement of Spine Surgery
SP S78
OP S86
DO 10.14444/7169
VO 14
IS s4
A1 João Paulo Machado Bergamaschi
A1 Carlos Alberto Montovani Costa
A1 Luiz Henrique Sandon
YR 2021
UL http://ijssurgery.com//content/14/s4/S78.abstract
AB Common symptoms such as axial pain or nocturnal pain, associated with warning signs that are often worrisome in addition to nonspecific radiological findings, can characterize benign lesions in the spine, and osteoid osteoma is among them. We describe here a clinical case of a pediatric patient with an expansive bone lesion in the thoracic spine discovered after investigation for thoracic pain, mainly at night, which, despite a good response to simple analgesics, evolved in the short term with global spinal deformity. After a multidisciplinary evaluation, she underwent surgical resection using a pioneering endoscopic technique that allowed the definitive anatomopathological diagnosis of osteoid osteoma and guaranteeing very satisfactory treatment and evolution. Although there are already several therapeutic techniques described and with good results in specific cases of osteoid osteomas and other benign neoplastic lesions of the spine, full-endoscopic resection appears as an innovative and potentially promising option for diagnosis and treatment, especially since it is a safe, effective, and not too morbid intervention.