The minimally invasive endoscopic technique for the treatment of symptomatic benign bone lesions: Preliminary results from a retrospective study

Wu, Minhao; Xiao, Lingfei; Zhang, Chong; Lei, Jun; Deng, Zhouming

doi:10.1016/j.jbo.2020.100313

Cited by 8 publications

(2 citation statements)

References 42 publications

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“…Benign spinal lesions include aneurysmal bone cysts, osteoid osteomas, and fibrous dysplasia, which tend to occur in the thoracic and lumbar spine. The incidence is low, accounting for approximately 1% of primary bone tumors [1,2]. They are usually found incidentally during physical examination, but local pain, nerve compression, and spinal deformity may also occur as the disease progresses [3].…”

Section: Introductionmentioning

confidence: 99%

Full Endoscopy Combined with Allogeneic Bone Grafting for Benign Spinal Lesions: Technical Notes and Preliminary Clinical Results

Liao

et al. 2023

JCM

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Benign lesions of the spine include benign tumors and tumor-like lesions of the spine, which usually occur in the thoracic and lumbar vertebrae. The incidence rate is low, accounting for about 1% of primary bone tumors. Few cases of endoscopic treatment of benign spinal lesions have been reported in the literature. Here, we introduce a new surgical technique using full endoscopy and allogeneic bone grafting to treat benign spinal lesions. All patients in this study successfully underwent the operation, and their pain was significantly relieved postoperatively. The patient VAS scores decreased from 3.07 ± 0.70 preoperatively to 0.33 ± 0.49 at the last follow-up visit (p < 0.05). The mean total blood loss (including drainage blood) was 16.67 ± 6.98 mL. The mean operative time was 63.33 ± 7.23 min. No patients developed numbness in the corresponding segmental distribution after surgery, none of the patients had serious postoperative complications, and none had focal recurrence during follow-up requiring reoperation. Patients reported symptom relief throughout the whole follow-up period. We believe that endoscopic surgery preserves the ligaments and soft tissues around the vertebral body, and that this technique is feasible with minimal trauma, rapid recovery, and good outcomes at short-term follow-up. This minimally invasive treatment modality offers a new option for the treatment of patients with benign spinal lesions.

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Section: Introductionmentioning

confidence: 99%

Full Endoscopy Combined with Allogeneic Bone Grafting for Benign Spinal Lesions: Technical Notes and Preliminary Clinical Results

Liao

et al. 2023

JCM

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“…Percutaneous osteoplasty (POP) is a procedure similar to PVP in principle and used for the treatment of bone lesions that can be accessed using puncture needles (4). Studies have shown that minimally invasive percutaneous imaging-guided techniques are safe and effective for the treatment of symptomatic, benign osteopathy (8)(9)(10). However, the clinical effectiveness of the treatment of cementoplasty still remains unclear.…”

Section: Introductionmentioning

confidence: 99%

Application of cementoplasty in patients with symptomatic benign osteopathy disease

et al. 2023

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Background The optimal treatment for some symptomatic, benign osteopathy lesions is yet to be identified. Purpose To investigate the clinical efficiency of cementoplasty in managing symptomatic, benign osteopathy. Material and Methods Between June 2006 and January 2020, we retrospectively enrolled 31 patients (10 men, 21 women; mean age = 46.5 ± 16.6 years; age range = 20–85 years), accounting for 34 treatment sites, who underwent percutaneous osteoplasty (14 treatment sites) and percutaneous vertebroplasty (20 treatment sites) with digital subtraction angiography (DSA) or DSA combined with computed tomography (CT). All the participants experienced different degrees of clinical symptoms with benign osteopathy lesions. The technical success of the procedure and occurrence of complications were recorded. Follow-up examinations were conducted to assess the treatment outcome using the MacNab criteria. Results All the participants had a diagnosis of benign osteopathy lesions before or after the cementoplasty. Surgery was successfully completed in all patients. Cement distributions were diffuse and homogeneous, with the complication of cement leakage occurring in 17.6% (6 of 34) of the lesions. The leakage occurred in the intervertebral disc (n = 1), the intra-articular space (n = 1), and the surrounding soft tissue (n = 4). Analysis of the treatment outcome using the MacNab criteria revealed that all patients showed improvement in their clinical symptoms to some extent and in the quality of life. Conclusion Cementoplasty is an effective treatment for symptomatic, benign osteopathy, with the advantage of favorable clinical outcomes, and low complication rate.

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Osteoscopic versus open surgery for the treatment of enchondroma in the foot

Futani

Kawaguchi

Sawai

et al. 2023

Arch Orthop Trauma Surg

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The minimally invasive endoscopic technique for the treatment of symptomatic benign bone lesions: Preliminary results from a retrospective study

Cited by 8 publications

References 42 publications

Full Endoscopy Combined with Allogeneic Bone Grafting for Benign Spinal Lesions: Technical Notes and Preliminary Clinical Results

Full Endoscopy Combined with Allogeneic Bone Grafting for Benign Spinal Lesions: Technical Notes and Preliminary Clinical Results

Application of cementoplasty in patients with symptomatic benign osteopathy disease

Osteoscopic versus open surgery for the treatment of enchondroma in the foot

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