Dr. Siddharth Katkade is a highly skilled, world wide trained and dedicated Spine Surgeon with over 10+ years of experience in field of specialised Spine Care and Orthopaedics.
- Phone:+91 88507 73095
- Email:bombayspineclinic09@gmail.com
Dr. Siddharth Katkade is a highly skilled, world wide trained and dedicated Spine Surgeon with over 10+ years of experience in field of specialised Spine Care and Orthopaedics.
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.
Keywords Osteoblastoma, C arm, CT scan, O arm navigation, Surgical excision, Case report
Spinal osteoblastoma needs surgical intervention and over a decade with advancing technologies different radiological aids has 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.