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Minimally Invasive Resection of a Lumbar Spine Vertebral Osteoid Osteoma: A Case Report
Liam M Cleary1, Christopher G Hendrix2, Haseeb E Goheer1
1Department of Orthopaedic Surgery, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, United States of America.
Introduction:
Open surgical resection involves extended recovery and soft-tissue damage, prompting the development and increasing adoption of less invasive techniques. While Mast Quadrant tubular retractors have been used in spine fusion and endoscopic procedures, their application in minimally invasive tumor resections has not been widely discussed. This report showcases the use of a Mast Quadrant tubular retractor for the minimally invasive resection of a lumbar vertebral body osteoid osteoma.
Case Report:
A 38-year-old Caucasian man, suffering from six years of lumbar pain and refractory osteoid osteoma, underwent resection using a minimally invasive lateral approach with a Mast Quadrant tubular retractor. This came after the failure of less invasive treatment modalities, including facet injections and radiofrequency facet ablation.
Conclusion:
Vertebral body osteoid osteomas can be resected with no recurrence using a tubular retractor to spare paravertebral muscles and the morbidity of open resection, allowing patients an earlier return to work and activity.
