PDF(Pubmed)
Abstract：
BACKGROUND: Osteoid osteoma is a benign osteogenic tumor that occurs mostly in the femoral stem, while osteoid osteoma occurring in the lumbar vertebral body is a relatively rare case. To minimize treatment-related complications, a computer-assisted navigation fully visualized spinal endoscopy was used. Ultimately, the pathology was diagnosed as osteoid osteoma.
METHODS: We report a 19-year-old adult male with low back pain that worsened at night and CT, MRI imaging showed an abnormal signal shadow at the posterior margin of the lumbar vertebral body. Due to the proximity of the lesion to the spinal canal and adjacent to the nerve roots, it was difficult to precisely localize the lesion by purely endoscopic or open procedures, and if necessary, the resection of surrounding tissues had to be expanded, causing unnecessary damage to the surrounding tissues. Therefore, we choose computer-assisted navigation fully visualized spinal endoscopy to perform the treatment.
CONCLUSIONS: In this case, we report an osteoid osteoma that occurs less frequently in the lumbar vertebral body. Using computer-assisted navigation with fully visualized spinal endoscopy, we successfully resected the osteoid osteoma at the posterior margin of the L3 vertebral body preoperatively by computer-planned path with intraoperative visualization endoscopy, minimizing the damage to spinal stability. Computer-assisted navigation with visualization endoscopy provides a more precise and minimally invasive approach to the treatment of osteoid osteoma of the spine.
METHODS: We report a 19-year-old adult male with low back pain that worsened at night and CT, MRI imaging showed an abnormal signal shadow at the posterior margin of the lumbar vertebral body. Due to the proximity of the lesion to the spinal canal and adjacent to the nerve roots, it was difficult to precisely localize the lesion by purely endoscopic or open procedures, and if necessary, the resection of surrounding tissues had to be expanded, causing unnecessary damage to the surrounding tissues. Therefore, we choose computer-assisted navigation fully visualized spinal endoscopy to perform the treatment.
CONCLUSIONS: In this case, we report an osteoid osteoma that occurs less frequently in the lumbar vertebral body. Using computer-assisted navigation with fully visualized spinal endoscopy, we successfully resected the osteoid osteoma at the posterior margin of the L3 vertebral body preoperatively by computer-planned path with intraoperative visualization endoscopy, minimizing the damage to spinal stability. Computer-assisted navigation with visualization endoscopy provides a more precise and minimally invasive approach to the treatment of osteoid osteoma of the spine.
摘要：
背景：骨样骨瘤是一种良性成骨肿瘤，主要发生在股骨干，而腰椎椎体中发生的骨样骨瘤是一种相对罕见的病例。尽量减少治疗相关的并发症，使用了计算机辅助导航完全可视化的脊柱内窥镜检查.最终,病理诊断为骨样骨瘤。
方法：我们报告了一名19岁的成年男性，患有夜间和CT加重的腰痛，MRI成像显示腰椎椎体后缘有异常信号阴影。由于病变靠近椎管并靠近神经根，通过单纯的内窥镜或开放手术很难精确定位病变，如果有必要,周围组织的切除必须扩大，对周围组织造成不必要的损害。因此,我们选择计算机辅助导航全可视化脊柱内窥镜来进行治疗.
结论：在这种情况下，我们报告了一种在腰椎椎体中发生频率较低的骨样骨瘤。使用计算机辅助导航和完全可视化的脊柱内窥镜检查，我们成功地切除了L3椎体后缘的骨样骨瘤术前通过计算机规划路径术中可视化内窥镜检查，尽量减少对脊柱稳定性的损害。带有可视化内窥镜的计算机辅助导航为脊柱骨样骨瘤的治疗提供了更精确和微创的方法。
方法：我们报告了一名19岁的成年男性，患有夜间和CT加重的腰痛，MRI成像显示腰椎椎体后缘有异常信号阴影。由于病变靠近椎管并靠近神经根，通过单纯的内窥镜或开放手术很难精确定位病变，如果有必要,周围组织的切除必须扩大，对周围组织造成不必要的损害。因此,我们选择计算机辅助导航全可视化脊柱内窥镜来进行治疗.
结论：在这种情况下，我们报告了一种在腰椎椎体中发生频率较低的骨样骨瘤。使用计算机辅助导航和完全可视化的脊柱内窥镜检查，我们成功地切除了L3椎体后缘的骨样骨瘤术前通过计算机规划路径术中可视化内窥镜检查，尽量减少对脊柱稳定性的损害。带有可视化内窥镜的计算机辅助导航为脊柱骨样骨瘤的治疗提供了更精确和微创的方法。
