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Related Experiment Video

Updated: Jun 20, 2026

Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
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Osteoid osteomas: intraoperative bone scan-assisted resection. Clinical article.

Donald J Blaskiewicz1, Durga R Sure, Daniel J Hedequist

  • 1Department of Neurological Surgery, State University of New York Upstate Medical University, Syracuse, New York, NY, USA.

Journal of Neurosurgery. Pediatrics
|September 24, 2009
PubMed
Summary

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Intraoperative bone scans (IOBSs) help surgeons completely remove painful spinal osteoid osteomas (OOs) in children. This technique improves outcomes and reduces the need for repeat surgeries for these benign spinal tumors.

Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Nuclear Medicine

Background:

  • Spinal osteoid osteomas (OOs) are benign bone tumors causing pain and deformity in children.
  • Surgical resection of spinal OOs can be challenging, often requiring multiple procedures.
  • Intraoperative bone scans (IOBSs) offer high sensitivity for localizing these elusive lesions.

Observation:

  • A retrospective review of 20 pediatric patients with spinal OOs was conducted.
  • IOBSs were utilized for lesion localization and confirmation of complete resection in all cases.
  • Five patients with prior unsuccessful resections at other institutions achieved complete removal with IOBS assistance.

Findings:

  • 14 out of 15 newly diagnosed OOs were completely resected with IOBS-assisted surgery, with no recurrence.

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  • One patient experienced a recurrence adjacent to the initial resection site.
  • IOBSs demonstrated high sensitivity in guiding complete surgical extirpation.

    • Implications:

    • Complete resection of spinal osteoid osteomas is curative.
    • Incomplete resection is associated with a high likelihood of recurrence.
    • Intraoperative bone scans should be considered a valuable first-line surgical adjunct for spinal OO resection.