The Internet Journal of Minimally Invasive Spinal Technology™ ISSN: 1937-8254

The Internet Journal of Minimally Invasive Spinal Technology is the official online journal of ISMISS/SICOT (International Society of Minimally Invasive Spinal Surgery, affiliate of SICOT) and AAMISMS (American Academy of Minimally Invasive Spine Surgery and Medicine)

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Osteoid Osteoma Of The Spine: Geiger Guided Resection

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Arsen Shpigelman MD

Citation: A. Shpigelman : Osteoid Osteoma Of The Spine: Geiger Guided Resection. The Internet Journal of Minimally Invasive Spinal Technology. 2009 Supplement II - to IJMIST Vol III No 4

Abstract

Background: It is often difficult to accurately localize the Nidus of Osteoid Osteoma (OO) during the operation. There has been a tendency to extensively excise the lesion with surrounding sclerotic bone to avoid recurrence due to presence of residual Nidus. We describe method of Geiger guided Resection of Osteoid Osteoma of the spine in 5 cases from our department. Method: We localized intraoperatively the Nidus with preoperatively injected technetium labeled methylene diphosphonate and a sterile wrapped Geiger counter. The radioactive agent was injected 12 hours before operation. The tissue around the Nidus reduce radioactivity 12 hours after injection of radioactive Technetium. Results: 5 cases of Block Resection of Osteoid Osteoma from the pedicle and facet area were proceeding. Technetium labeled methylene diphosphonate was injected 12 hours preoperative. We localized the Nidus of OO with Geiger counter intraoperative. Pain relive after operation in all cases. Clear Bone scan – without uptake – in the operative region half year after operation. Without a local recurrence of the disease. Conclusion: We describe the simple and clear method to identify of Osteoid Osteoma of the Spine: * Before operation.* Intraoperative. We recommended to inject a radioactive agent 12 hours before operation for reduce of false negative identification of the tissue around the Nidus. We recommended to use of this method for identify and resection of Osteoid Osteoma from the pedicles of the vertebras.

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	The Internet Journal of Minimally Invasive Spinal Technology™ ISSN: 1937-8254 \| Home \| Editors \| Current Issue \| Archives \| Instructions for Authors \| Disclaimer \| Share with others \| The Internet Journal of Minimally Invasive Spinal Technology is the official online journal of ISMISS/SICOT (International Society of Minimally Invasive Spinal Surgery, affiliate of SICOT) and AAMISMS (American Academy of Minimally Invasive Spine Surgery and Medicine) Osteoid Osteoma Of The Spine: Geiger Guided Resection Read printer friendly Subscribe in a reader Share with others Arsen Shpigelman MD Citation: A. Shpigelman : Osteoid Osteoma Of The Spine: Geiger Guided Resection. The Internet Journal of Minimally Invasive Spinal Technology. 2009 Supplement II - to IJMIST Vol III No 4 Abstract Background: It is often difficult to accurately localize the Nidus of Osteoid Osteoma (OO) during the operation. There has been a tendency to extensively excise the lesion with surrounding sclerotic bone to avoid recurrence due to presence of residual Nidus. We describe method of Geiger guided Resection of Osteoid Osteoma of the spine in 5 cases from our department. Method: We localized intraoperatively the Nidus with preoperatively injected technetium labeled methylene diphosphonate and a sterile wrapped Geiger counter. The radioactive agent was injected 12 hours before operation. The tissue around the Nidus reduce radioactivity 12 hours after injection of radioactive Technetium. Results: 5 cases of Block Resection of Osteoid Osteoma from the pedicle and facet area were proceeding. Technetium labeled methylene diphosphonate was injected 12 hours preoperative. We localized the Nidus of OO with Geiger counter intraoperative. Pain relive after operation in all cases. Clear Bone scan – without uptake – in the operative region half year after operation. Without a local recurrence of the disease. Conclusion: We describe the simple and clear method to identify of Osteoid Osteoma of the Spine: * Before operation.* Intraoperative. We recommended to inject a radioactive agent 12 hours before operation for reduce of false negative identification of the tissue around the Nidus. We recommended to use of this method for identify and resection of Osteoid Osteoma from the pedicles of the vertebras. This article was last modified on Fri, 03 Jul 09 14:16:48 -0500 This page was generated on Fri, 20 Nov 09 22:03:31 -0600, and may be cached.
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