Wr. Osebold et al., INTRAOPERATIVE USE OF THE MOBILE GAMMA-CAMERA IN LOCALIZING AND EXCISING OSTEOID OSTEOMAS OF THE SPINE, Spine (Philadelphia, Pa. 1976), 18(13), 1993, pp. 1816-1828
Three patients (ages 12, 13, and 15 years) had histologically verified
osteoid osteomas of the spine (specifically in the facet processes of
L3, L2, and C5) which were localized preoperatively with nuclear scin
tigraphy utilizing technetium 99m diphosphonate. Intraoperative nuclea
r scintigraphy utilizing the mobile gamma camera was essential in both
localizing the tumor during surgical excision and ensuring adequacy o
f excision. The authors strongly recommend intraoperative scintigraphy
, and en bloc resection rather than shelling out and curettage. All th
ree patients required facet process excision for successful tumor remo
val, and therefore required local fusion with internal fixation.