Utility of C arm aided, CT guided, and O arm navigation aids to surgically manage cases of spinal osteoblastoma over a decade
Abstract Background Spinal osteoblastoma needs surgical intervention, and over a decade with advancing technologies, different radiological aids have been utilized in the form of CT scan, fluoroscopy and O arm, but no study has compared its efficacy and outcomes. Here, in this case report of three c...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-04-01
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| Series: | Egyptian Journal of Neurosurgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41984-023-00201-4 |
| _version_ | 1797836563681378304 |
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| author | Shailesh Ramakant Hadgaonkar Siddharth Manik Katkade Pramod Dashrath Bhilare Parag Kantilal Sancheti |
| author_facet | Shailesh Ramakant Hadgaonkar Siddharth Manik Katkade Pramod Dashrath Bhilare Parag Kantilal Sancheti |
| author_sort | Shailesh Ramakant Hadgaonkar |
| collection | DOAJ |
| description | Abstract Background Spinal osteoblastoma needs surgical intervention, and over a decade with advancing technologies, different radiological aids have been utilized in the form of CT scan, fluoroscopy and O arm, but no study has compared its efficacy and outcomes. Here, in this case report of three cases, we have compared the intra- and post-operative course and effectiveness of three radiological modalities. Case presentation We reviewed three surgically treated cases of spinal osteoblastoma with aid of different generation radiological modalities like C arm, CT scan and O arm navigation treated over a span of more than 10 years in single institute by same surgeon. These 3 cases were assessed and compared in terms of intraoperative parameters (image acquisition type, image display, scan time, bone image quality, real-time imaging, radiation exposure, surgical time, blood loss, complications and others) and post-operative parameters (recovery, recurrence and follow-up). First case managed with aid of C arm showed fluoroscopically acquired two-dimensional images, poor bone image quality; higher scan time-surgical time and blood loss with higher radiation exposure and no real-time imaging. Second case managed with aid of CT scan provided three-dimensional images, better bone image quality; lower surgical time and blood loss but increased transport time with minimum radiological exposure to surgeon and OT personnel with no real-time imaging. Third case managed with O arm navigation provided 3-dimensional images, best bone image quality; less surgical time and blood loss with minimum radiological exposure to surgeon and OT personnel with real-time imaging. Additionally, O arm navigation improved accuracy of tumor localization and intraoperative confirmation of complete tumor excision. Whereas all three cases showed no clinico-radiological signs of recurrence on subsequent follow-ups. Conclusion O arm navigation in terms of best bone image quality, accuracy, intraoperative confirmation of tumor excision, surgical time, blood loss and post-operative recovery makes it superior to others. |
| first_indexed | 2024-04-09T15:12:03Z |
| format | Article |
| id | doaj.art-a1f2387326f74f68a1eef4bf747857db |
| institution | Directory Open Access Journal |
| issn | 2520-8225 |
| language | English |
| last_indexed | 2024-04-09T15:12:03Z |
| publishDate | 2023-04-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Egyptian Journal of Neurosurgery |
| spelling | doaj.art-a1f2387326f74f68a1eef4bf747857db2023-04-30T11:10:25ZengSpringerOpenEgyptian Journal of Neurosurgery2520-82252023-04-013811610.1186/s41984-023-00201-4Utility of C arm aided, CT guided, and O arm navigation aids to surgically manage cases of spinal osteoblastoma over a decadeShailesh Ramakant Hadgaonkar0Siddharth Manik Katkade1Pramod Dashrath Bhilare2Parag Kantilal Sancheti3Department of Spine, Sancheti Institute for Orthopaedics and Rehabilitation PuneDepartment of Spine, Sancheti Institute for Orthopaedics and Rehabilitation PuneDepartment of Spine, Sancheti Institute for Orthopaedics and Rehabilitation PuneDepartment of Spine, Sancheti Institute for Orthopaedics and Rehabilitation PuneAbstract Background Spinal osteoblastoma needs surgical intervention, and over a decade with advancing technologies, different radiological aids have been utilized in the form of CT scan, fluoroscopy and O arm, but no study has compared its efficacy and outcomes. Here, in this case report of three cases, we have compared the intra- and post-operative course and effectiveness of three radiological modalities. Case presentation We reviewed three surgically treated cases of spinal osteoblastoma with aid of different generation radiological modalities like C arm, CT scan and O arm navigation treated over a span of more than 10 years in single institute by same surgeon. These 3 cases were assessed and compared in terms of intraoperative parameters (image acquisition type, image display, scan time, bone image quality, real-time imaging, radiation exposure, surgical time, blood loss, complications and others) and post-operative parameters (recovery, recurrence and follow-up). First case managed with aid of C arm showed fluoroscopically acquired two-dimensional images, poor bone image quality; higher scan time-surgical time and blood loss with higher radiation exposure and no real-time imaging. Second case managed with aid of CT scan provided three-dimensional images, better bone image quality; lower surgical time and blood loss but increased transport time with minimum radiological exposure to surgeon and OT personnel with no real-time imaging. Third case managed with O arm navigation provided 3-dimensional images, best bone image quality; less surgical time and blood loss with minimum radiological exposure to surgeon and OT personnel with real-time imaging. Additionally, O arm navigation improved accuracy of tumor localization and intraoperative confirmation of complete tumor excision. Whereas all three cases showed no clinico-radiological signs of recurrence on subsequent follow-ups. Conclusion O arm navigation in terms of best bone image quality, accuracy, intraoperative confirmation of tumor excision, surgical time, blood loss and post-operative recovery makes it superior to others.https://doi.org/10.1186/s41984-023-00201-4OsteoblastomaC armCT scanO arm navigationSurgical excisionCase report |
| spellingShingle | Shailesh Ramakant Hadgaonkar Siddharth Manik Katkade Pramod Dashrath Bhilare Parag Kantilal Sancheti Utility of C arm aided, CT guided, and O arm navigation aids to surgically manage cases of spinal osteoblastoma over a decade Egyptian Journal of Neurosurgery Osteoblastoma C arm CT scan O arm navigation Surgical excision Case report |
| title | Utility of C arm aided, CT guided, and O arm navigation aids to surgically manage cases of spinal osteoblastoma over a decade |
| title_full | Utility of C arm aided, CT guided, and O arm navigation aids to surgically manage cases of spinal osteoblastoma over a decade |
| title_fullStr | Utility of C arm aided, CT guided, and O arm navigation aids to surgically manage cases of spinal osteoblastoma over a decade |
| title_full_unstemmed | Utility of C arm aided, CT guided, and O arm navigation aids to surgically manage cases of spinal osteoblastoma over a decade |
| title_short | Utility of C arm aided, CT guided, and O arm navigation aids to surgically manage cases of spinal osteoblastoma over a decade |
| title_sort | utility of c arm aided ct guided and o arm navigation aids to surgically manage cases of spinal osteoblastoma over a decade |
| topic | Osteoblastoma C arm CT scan O arm navigation Surgical excision Case report |
| url | https://doi.org/10.1186/s41984-023-00201-4 |
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