Full endoscopic resection of a lumbar osteoblastoma: Technical note

William C. Newman, Max Vaynrub, Mark H. Bilsky, Ilya Laufer, Ori Barzilai*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Osteoblastomas are a rare, benign primary bone tumor accounting for 1% of all primary bone tumors, with 40% occurring within the spine. Gross-total resection (GTR) is curative, although depending on location, this can require destabilization of the spine and necessitate instrumented fixation. Through the use of minimally invasive, muscle-sparing approaches, these lesions can be resected while maintaining structural integrity of the spine. The authors present a case report and technical note of a single patient describing the use of a purely endoscopic technique to resect a right L5 superior articulating process osteoblastoma in a 45-year-old woman. The patient underwent an image-guided endoscopic resection of her superior articulating facet osteoblastoma. Intraoperative CT demonstrated GTR. On postoperative examination, she remained neurologically intact with resolution of her pain. At follow-up, she remained pain free. Resection of lumbar osteoblastoma through a fully endoscopic approach was a safe and effective technique in this patient. This technique allowed for GTR without compromising spinal structural integrity, thus eliminating the need for instrumented fixation.

Original languageEnglish
Pages (from-to)252-255
Number of pages4
JournalJournal of Neurosurgery: Spine
Volume33
Issue number2
DOIs
StatePublished - Aug 2020
Externally publishedYes

Keywords

  • Minimally invasive spine surgery
  • Oncology
  • Osteoblastoma
  • Spinal endoscopy
  • Spine tumor
  • Stereotactic navigation
  • Surgical technique

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