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Case ReportTumor

Remodeling of the Lumbar Facet Joint After Full Endoscopic Resection for Lumbar Osteoid Osteoma: Case Report and Literature Review

Vit Kotheeranurak, Khanathip Jitpakdee, Napaporn Rujiramongkolchai, Taywin Atikankul, Weerasak Singhatanadgige, Worawat Limthongkul, Taweechai Tejapongvorachai and Jin-Sung Kim
International Journal of Spine Surgery April 2022, 16 (2) 378-383; DOI: https://doi.org/10.14444/8210
Vit Kotheeranurak
1 Department of Orthopedics, Queen Savang Vadhana Memorial Hospital, Sriracha, Chonburi, Thailand
MD
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Khanathip Jitpakdee
1 Department of Orthopedics, Queen Savang Vadhana Memorial Hospital, Sriracha, Chonburi, Thailand
MD
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Napaporn Rujiramongkolchai
2 Department of Radiology, Queen Savang Vadhana Memorial Hospital, Sriracha, Chonburi, Thailand
MD
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Taywin Atikankul
3 Department of Pathology, Queen Savang Vadhana Memorial Hospital, Sriracha, Chonburi, Thailand
MD
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Weerasak Singhatanadgige
4 Department of Orthopaedic, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
MD
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Worawat Limthongkul
4 Department of Orthopaedic, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
MD
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Taweechai Tejapongvorachai
4 Department of Orthopaedic, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
MD
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Jin-Sung Kim
5 Department of Neurosurgery, Seoul St. Mary’s Hospital, Spine Center, College of medicine, The Catholic University of Korea, Seoul, South Korea
MDPhD
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    Figure 1

    Magnetic resonance imaging images (T1-weighted fat suppression (T1FS) postgadolinium) show significant enhancement around the mass-like lesion at the left inferior articular process of the L3 vertebra.

  • Figure 2
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    Figure 2

    Computed tomography image comparison. (A) Preoperative image with a notable “nidus” (yellow arrowhead), (B) immediate postoperative image, and (C) 18-month postoperative image showing remodeling of resected area.

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    Figure 3

    Intraoperative endoscopic views. Tumor mass after tissue dissection (top left). Diamond tip burr use (top right). Kerrison rongeur nidus removal (bottom left). Radiofrequency cauterization after nidus removal (bottom right). Orientation and working area (middle).

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    Figure 4

    Schematic of endoscopic procedure at L3 left inferior articular process shows diamond tip burr, Kerrison rongeur, and radiofrequency electrocautery.

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    Figure 5

    Pathology and microscopic views. Microscopic examination with hematoxylin and eosin stain revealed fragments of nodular lesion, composing anastomosing network of irregular trabeculae of woven bones with variable mineralization and central loose fibrovascular stroma. Layers of osteoblasts and sporadic osteoclasts rim the trabeculae of woven bone.

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International Journal of Spine Surgery
Vol. 16, Issue 2
1 Apr 2022
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Remodeling of the Lumbar Facet Joint After Full Endoscopic Resection for Lumbar Osteoid Osteoma: Case Report and Literature Review
Vit Kotheeranurak, Khanathip Jitpakdee, Napaporn Rujiramongkolchai, Taywin Atikankul, Weerasak Singhatanadgige, Worawat Limthongkul, Taweechai Tejapongvorachai, Jin-Sung Kim
International Journal of Spine Surgery Apr 2022, 16 (2) 378-383; DOI: 10.14444/8210

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Remodeling of the Lumbar Facet Joint After Full Endoscopic Resection for Lumbar Osteoid Osteoma: Case Report and Literature Review
Vit Kotheeranurak, Khanathip Jitpakdee, Napaporn Rujiramongkolchai, Taywin Atikankul, Weerasak Singhatanadgige, Worawat Limthongkul, Taweechai Tejapongvorachai, Jin-Sung Kim
International Journal of Spine Surgery Apr 2022, 16 (2) 378-383; DOI: 10.14444/8210
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Keywords

  • osteoid osteoma
  • full endoscopic resection
  • endoscopic resection
  • minimally invasive spine surgery
  • lumbar
  • remodeling
  • facet joint
  • nidus removal

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