Abstract
The use of frameless stereotactic navigation is gaining popularity in spinal surgery. Although initially used in the spine for placement of lumbar pedicle screws, this technology has expanded to facilitate placement of spinal instrumentation at virtually all spinal levels. While previous reports have described the utility of image guidance for placement of spinal instrumentation, its use in assisting with resection of complex spine tumors has not been extensively reported. Here we describe the use of frameless stereotaxy to guide a complex, four-level sagittal vertebral osteotomy for en bloc resection of a giant cell tumor involving the chest wall and thoracic spine.
MeSH terms
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Adult
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Giant Cell Tumor of Bone / diagnostic imaging
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Giant Cell Tumor of Bone / pathology
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Giant Cell Tumor of Bone / surgery*
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Humans
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Internal Fixators / standards
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Male
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Neurosurgical Procedures / instrumentation
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Neurosurgical Procedures / methods*
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Osteotomy / instrumentation
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Osteotomy / methods*
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Plastic Surgery Procedures / instrumentation
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Plastic Surgery Procedures / methods
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Radiography
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Spinal Fusion / instrumentation
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Spinal Fusion / methods
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Spinal Neoplasms / diagnostic imaging
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Spinal Neoplasms / pathology
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Spinal Neoplasms / surgery*
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Surgery, Computer-Assisted / instrumentation
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Surgery, Computer-Assisted / methods*
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Thoracic Vertebrae / diagnostic imaging
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Thoracic Vertebrae / pathology
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Thoracic Vertebrae / surgery*