Utility of a Computed Tomography-Based Navigation System (O-Arm) for En Bloc Partial Vertebrectomy for Lung Cancer Adjacent to the Thoracic Spine: Technical Case Report.
10.4184/asj.2016.10.2.360
- Author:
Kazuyoshi KOBAYASHI
1
;
Shiro IMAGAMA
;
Zenya ITO
;
Kei ANDO
;
Kohei YOKOI
;
Naoki ISHIGURO
Author Information
1. Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan. imagama@med.nagoya-u.ac.jp
- Publication Type:Case Report
- Keywords:
Lung neoplasms;
Computed tomography-based navigation system;
En bloc partial vertebrectomy
- MeSH:
Adenocarcinoma;
Humans;
Laminectomy;
Lung Neoplasms*;
Lung*;
Middle Aged;
Osteotomy;
Ribs;
Spine*;
Thoracic Wall
- From:Asian Spine Journal
2016;10(2):360-365
- CountryRepublic of Korea
- Language:English
-
Abstract:
We describe successful vertebrectomy from a posterior approach using a computed tomography (CT)-based navigation system (O-arm) in a 53-year-old man with adenocarcinoma of the posterior apex of the right lung with invasion of the adjacent rib, thoracic wall, and T2 and T3 vertebral bodies. En bloc partial vertebrectomy for lung cancer adjacent to the thoracic spine was planned using O-arm. First, laminectomy was performed from right T2 to T3, and pedicles and transverse processes of T2 to T3 were resected. O-arm was used to confirm the location of the cutting edge in the T2 to 3 right vertebral internal body, and osteotomy to the anterior cortex was performed with a chisel. Next, the patient was placed in a left decubitus position. The surgical specimen was extracted en bloc. This case shows that O-arm can be used reliably and easily in vertebrectomy from a posterior approach and can facilitate en bloc resection.
