O 臂辅助 3D 导航下整块切除颈椎骨样骨瘤 1 例报告
En Bloc Resection of Cervical Spine Osteoid Osteoma With O-Arm-Assisted 3D Navigation: A Case Report.
机构信息
Spectrum Health/Michigan State University Orthopaedic Surgery Residency, Grand Rapids, Michigan.
Helen DeVos Children's Hospital, Grand Rapids, Michigan.
出版信息
JBJS Case Connect. 2022 Sep 1;12(3). doi: e21.00630. eCollection 2022 Jul 1.
CASE
A 22-year-old man presented with long-standing, progressive neck pain of unknown etiology. Investigation revealed a cervical spine osteoid osteoma affecting the right C4-5 facet joint. He underwent minimally invasive en bloc resection with O-arm-assisted 3-dimensional navigation without introducing iatrogenic spinal instability. Symptoms resolved after surgery, without recurrence or instability at the 2-year follow-up.
CONCLUSION
Cervical spine osteoid osteoma is a tumor that presents diagnostic and therapeutic challenges. Achieving precise, complete resection of the tumor with a minimally invasive approach while avoiding spinal instrumentation and arthrodesis is paramount to excellent surgical outcomes.
病例
一名 22 岁男性出现原因不明的长期进行性颈部疼痛。检查发现颈椎骨样骨瘤影响右侧 C4-5 关节突关节。他接受了微创整块切除术，使用 O 臂辅助 3 维导航，没有造成医源性脊柱不稳定。手术后症状缓解，2 年随访无复发或不稳定。
结论
颈椎骨样骨瘤是一种具有诊断和治疗挑战的肿瘤。通过微创方法实现肿瘤的精确、完全切除，同时避免脊柱内固定和融合，对于获得良好的手术效果至关重要。
Zotero 插件