Cargando…

Computer-Assisted Navigation During an Anterior-Posterior En Bloc Resection of a Sacral Tumor

Previously, a computer-based navigation system has not been used routinely for en-bloc resection of sacral tumors. In order to improve the accuracy of tumor resection, O-arm navigation was used to join anterior and posterior osteotomies during an en-bloc resection of a sacral Ewing’s sarcoma. This c...

Descripción completa

Detalles Bibliográficos
Autores principales: Al Eissa, Sami, Al-Habib, Amro F, Jahangiri, Faisal R
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4671841/
https://www.ncbi.nlm.nih.gov/pubmed/26677423
http://dx.doi.org/10.7759/cureus.373
_version_ 1782404462029045760
author Al Eissa, Sami
Al-Habib, Amro F
Jahangiri, Faisal R
author_facet Al Eissa, Sami
Al-Habib, Amro F
Jahangiri, Faisal R
author_sort Al Eissa, Sami
collection PubMed
description Previously, a computer-based navigation system has not been used routinely for en-bloc resection of sacral tumors. In order to improve the accuracy of tumor resection, O-arm navigation was used to join anterior and posterior osteotomies during an en-bloc resection of a sacral Ewing’s sarcoma. This case study describes the technique for en-bloc resection of a sacral Ewing’s sarcoma guided by O-arm computer navigation and intraoperative neurophysiological monitoring (IONM). An 18-year-old male presented with weakness in his left lower extremity. MRI of the patient's spine showed a sacral mass causing compression of left S1 and S2 roots. A surgical resection was planned with anterior and posterior approaches. An O-arm computer navigation system was used to assist in meeting anterior osteotomy cuts with the posterior cuts to ensure complete resection of the sacral tumor with a safe margin. Computer-assisted navigation was used along with IONM during this procedure to help guide the surgical team in an adequate tumor resection. There were no complications related to the use of the O-arm or the navigation system. Computer navigation guidance is both useful and safe in sacral tumor resections. It enhanced the accuracy of the en-bloc removal of a sacral tumor with safe margins while protecting neural function and minimizing recurrence.
format Online
Article
Text
id pubmed-4671841
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-46718412015-12-16 Computer-Assisted Navigation During an Anterior-Posterior En Bloc Resection of a Sacral Tumor Al Eissa, Sami Al-Habib, Amro F Jahangiri, Faisal R Cureus Orthopedics Previously, a computer-based navigation system has not been used routinely for en-bloc resection of sacral tumors. In order to improve the accuracy of tumor resection, O-arm navigation was used to join anterior and posterior osteotomies during an en-bloc resection of a sacral Ewing’s sarcoma. This case study describes the technique for en-bloc resection of a sacral Ewing’s sarcoma guided by O-arm computer navigation and intraoperative neurophysiological monitoring (IONM). An 18-year-old male presented with weakness in his left lower extremity. MRI of the patient's spine showed a sacral mass causing compression of left S1 and S2 roots. A surgical resection was planned with anterior and posterior approaches. An O-arm computer navigation system was used to assist in meeting anterior osteotomy cuts with the posterior cuts to ensure complete resection of the sacral tumor with a safe margin. Computer-assisted navigation was used along with IONM during this procedure to help guide the surgical team in an adequate tumor resection. There were no complications related to the use of the O-arm or the navigation system. Computer navigation guidance is both useful and safe in sacral tumor resections. It enhanced the accuracy of the en-bloc removal of a sacral tumor with safe margins while protecting neural function and minimizing recurrence. Cureus 2015-11-04 /pmc/articles/PMC4671841/ /pubmed/26677423 http://dx.doi.org/10.7759/cureus.373 Text en Copyright © 2015, Al Eissa et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Orthopedics
Al Eissa, Sami
Al-Habib, Amro F
Jahangiri, Faisal R
Computer-Assisted Navigation During an Anterior-Posterior En Bloc Resection of a Sacral Tumor
title Computer-Assisted Navigation During an Anterior-Posterior En Bloc Resection of a Sacral Tumor
title_full Computer-Assisted Navigation During an Anterior-Posterior En Bloc Resection of a Sacral Tumor
title_fullStr Computer-Assisted Navigation During an Anterior-Posterior En Bloc Resection of a Sacral Tumor
title_full_unstemmed Computer-Assisted Navigation During an Anterior-Posterior En Bloc Resection of a Sacral Tumor
title_short Computer-Assisted Navigation During an Anterior-Posterior En Bloc Resection of a Sacral Tumor
title_sort computer-assisted navigation during an anterior-posterior en bloc resection of a sacral tumor
topic Orthopedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4671841/
https://www.ncbi.nlm.nih.gov/pubmed/26677423
http://dx.doi.org/10.7759/cureus.373
work_keys_str_mv AT aleissasami computerassistednavigationduringananteriorposteriorenblocresectionofasacraltumor
AT alhabibamrof computerassistednavigationduringananteriorposteriorenblocresectionofasacraltumor
AT jahangirifaisalr computerassistednavigationduringananteriorposteriorenblocresectionofasacraltumor