1
|
Giammalva GR, Dell’Aglio L, Guarrera B, Baro V, Calvanese L, Schiavo G, Mantovani G, Rinaldi V, Iacopino DG, Causin F, Nicolai P, Ferrari M, Denaro L. Transnasal Endoscopic Approach for Osteoid Osteoma of the Odontoid Process in a Child: Technical Note and Systematic Review of the Literature. Brain Sci 2022; 12:brainsci12070916. [PMID: 35884723 PMCID: PMC9316770 DOI: 10.3390/brainsci12070916] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Revised: 07/05/2022] [Accepted: 07/11/2022] [Indexed: 02/06/2023] Open
Abstract
Osteoid osteoma (OO) is a primary benign tumor that accounts for up to 3% of all bone tumors. The cervical spine is less affected by OOs, and very few cases of C2 OOs have been reported in the literature, both in adults and children. Surgery may be required in case of functional torticollis, stiffness, and reduced range of motion (ROM) due to cervical OOs refractory to medical therapy. Several posterior and anterior surgical techniques have been described to remove C2 OOs. In particular, anterior approaches to the cervical spine represent the most used surgical route for treating C2 OOs. We describe the first case of OO of the odontoid process removed through a transnasal endoscopic approach with the aid of neuronavigation in a 6-year-old child. No intraoperative complications occurred, and the post-operative course was uneventful. The patient had immediate relief of neck pain and remained pain-free throughout the follow-up period, with complete functional recovery of the neck range of motion (ROM). In this case, based on the favorable anatomy, the transnasal endoscopic approach represented a valuable strategy for the complete removal of an anterior C2 OO without the need for further vertebral fixation since the preservation of ligaments and paravertebral soft tissue.
Collapse
Affiliation(s)
- Giuseppe Roberto Giammalva
- Unit of Neurosurgery, Post Graduate Residency Program in Neurosurgery, Department of Biomedicine, Neuroscience and Advanced Diagnostics, University of Palermo, 90100 Palermo, Italy;
- Correspondence:
| | - Letizia Dell’Aglio
- Academic Neurosurgery, Department of Neurosciences DNS, University of Padua, 35128 Padua, Italy; (L.D.); (B.G.); (V.B.); (L.D.)
| | - Brando Guarrera
- Academic Neurosurgery, Department of Neurosciences DNS, University of Padua, 35128 Padua, Italy; (L.D.); (B.G.); (V.B.); (L.D.)
| | - Valentina Baro
- Academic Neurosurgery, Department of Neurosciences DNS, University of Padua, 35128 Padua, Italy; (L.D.); (B.G.); (V.B.); (L.D.)
| | - Leonardo Calvanese
- Unit of Otorhinolaryngology—Head and Neck Surgery, Department of Neurosciences DNS, “Azienda Ospedale Università di Padova”, University of Padua, 35128 Padua, Italy; (L.C.); (G.S.); (P.N.); (M.F.)
| | - Gloria Schiavo
- Unit of Otorhinolaryngology—Head and Neck Surgery, Department of Neurosciences DNS, “Azienda Ospedale Università di Padova”, University of Padua, 35128 Padua, Italy; (L.C.); (G.S.); (P.N.); (M.F.)
| | - Giulia Mantovani
- Unit of Anesthesia and Intensive Care, Integrated Didactic-Scientific Healtcare Department of Surgery (DIDAS Chirurgia), “Azienda Ospedale Università di Padova”, University of Padua, 35128 Padua, Italy; (G.M.); (V.R.)
| | - Valentina Rinaldi
- Unit of Anesthesia and Intensive Care, Integrated Didactic-Scientific Healtcare Department of Surgery (DIDAS Chirurgia), “Azienda Ospedale Università di Padova”, University of Padua, 35128 Padua, Italy; (G.M.); (V.R.)
| | - Domenico Gerardo Iacopino
- Unit of Neurosurgery, Post Graduate Residency Program in Neurosurgery, Department of Biomedicine, Neuroscience and Advanced Diagnostics, University of Palermo, 90100 Palermo, Italy;
| | - Francesco Causin
- Unit of Neuroradiology, Department of Neurosciences DNS, University of Padua, 35128 Padua, Italy;
| | - Piero Nicolai
- Unit of Otorhinolaryngology—Head and Neck Surgery, Department of Neurosciences DNS, “Azienda Ospedale Università di Padova”, University of Padua, 35128 Padua, Italy; (L.C.); (G.S.); (P.N.); (M.F.)
| | - Marco Ferrari
- Unit of Otorhinolaryngology—Head and Neck Surgery, Department of Neurosciences DNS, “Azienda Ospedale Università di Padova”, University of Padua, 35128 Padua, Italy; (L.C.); (G.S.); (P.N.); (M.F.)
- Guided Therapeutics (GTx) Program International Scholarship, University Health Network (UHN), Toronto, ON M5G 2C4, Canada
- Technology for Health (Ph.D. Program), Department of Information Engineering, University of Brescia, 25123 Brescia, Italy
| | - Luca Denaro
- Academic Neurosurgery, Department of Neurosciences DNS, University of Padua, 35128 Padua, Italy; (L.D.); (B.G.); (V.B.); (L.D.)
| |
Collapse
|
2
|
Which traumatic spinal injury creates which degree of instability? A systematic quantitative review. Spine J 2022; 22:136-156. [PMID: 34116217 DOI: 10.1016/j.spinee.2021.06.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Revised: 04/30/2021] [Accepted: 06/01/2021] [Indexed: 02/03/2023]
Abstract
BACKGROUND CONTEXT Traumatic spinal injuries often require surgical fixation. Specific three-dimensional degrees of instability after spinal injury, which represent criteria for optimum treatment concepts, however, are still not well investigated. PURPOSE The aim of this review therefore was to summarize and quantify multiplanar instability increases due to spinal injury from experimental studies. STUDY DESIGN/SETTING Systematic review. METHODS A systematic review of the literature was performed using keyword-based search on PubMed and Web of Science databases in order to detect all in vitro studies investigating the destabilizing effect of simulated and provoked traumatic injury in human spine specimens. Together with the experimental designs, the instability parameters range of motion, neutral zone and translation were extracted from the studies and evaluated regarding type and level of injury. RESULTS A total of 59 studies was included in this review, of which 43 studies investigated the effect of cervical spine injury. Range of motion increase, which was reported in 58 studies, was generally lower compared to the neutral zone increase, given in 37 studies, despite of injury type and level. Instability increases were highest in flexion/extension for most injury types, while axial rotation was predominantly affected after cervical unilateral dislocation injury and lateral bending solely after odontoid fracture. Whiplash injuries and wedge fractures were found to increase instability equally in all motion planes. CONCLUSIONS Specific traumatic spinal injuries produce characteristic but complex three-dimensional degrees of instability, which depend on the type, level, and morphology of the injury. Future studies should expand research on the cervicothoracic, thoracic, and lumbosacral spine and should additionally investigate the destabilizing effects of the injury morphology as well as concomitant rib cage injuries in case of thoracic spinal injuries. Moreover, neutral zone and translation should be measured in addition to the range of motion, while mechanical injury simulation should be preferred to resection or transection of structures to ensure high comparability with the clinical situation.
Collapse
|
3
|
Ma F, Liao Y, Tang Q, Tang C, Luo N, He H, Yang S, Wang Q, Zhong D. Morphometric Analysis of the Lateral Atlantoaxial Joints in Patients with an Old Type II Odontoid Fracture and Atlantoaxial Dislocation: A Study Based on CT Analysis. Spine (Phila Pa 1976) 2021; 46:726-733. [PMID: 33337679 DOI: 10.1097/brs.0000000000003894] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
MINI The morphological features of the lateral atlantoaxial joints (LAJs) in patients with old type II odontoid fractures and atlantoaxial dislocation have not been fully analyzed. Our study found the changes in morphological features of the LAJs in some patients, and revealed the causes and consequences of the changes in morphological features of the LAJs.
Collapse
Affiliation(s)
- Fei Ma
- Department of Orthopaedics, The Affiliated Hospital of Southwest Medical University, Luzhou, China
| | | | | | | | | | | | | | | | | |
Collapse
|