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Case of Cervicothoracic Spine Osteoblastoma in a 5 Year-old Boy

July 10, 2020/in Volume 6 | Issue 2 | July-December 2020

Vol 6 | Issue 2 | July-December 2020 | page: 15-17 | Mohamed Hbibi, Sarra Benmiloud, Meriem Haloua, Meryem Boubbou, Moustapha Hida Authors: Mohamed Hbibi [1], Sarra Benmiloud [2], Meriem Haloua [2], Meryem Boubbou [2], Moustapha Hida [1]. [1] Unit of Pediatric Hematology-Oncology, Department of Pediatrics, Mother- Child Hospital University Hospital Hassan II, Faculty of […]

Removal of Elastic Stable Intramedullary Nail

July 10, 2020/in Volume 6 | Issue 2 | July-December 2020

Vol 6 | Issue 2 | July-December 2020 | page: 19-21 | Vivek M. Sodhai, Sandeep A. Patwardhan, Parag K. Sancheti, Ashok K. Shyam Authors: Vivek M. Sodhai [1], Sandeep A. Patwardhan [1], Parag K. Sancheti [1], Ashok K. Shyam [1, 2] [1] Department of Paediatric Orthopaedics, Sancheti Institute for Orthopaedics & Rehabilitation, Shivaji Nagar, […]

Case of Cervicothoracic Spine Osteoblastoma in a 5 Year-old Boy

July 10, 2020/in Volume 6 | Issue 2 | July-December 2020

Removal of Elastic Stable Intramedullary Nail

July 10, 2020/in Volume 6 | Issue 2 | July-December 2020

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Case of Cervicothoracic Spine Osteoblastoma in a 5 Year-old Boy

July 10, 2020/in Volume 6 | Issue 2 | July-December 2020

Vol 6 | Issue 2 | July-December 2020 | page: 15-17 | Mohamed Hbibi, Sarra Benmiloud, Meriem Haloua, Meryem Boubbou, Moustapha Hida

Authors: Mohamed Hbibi [1], Sarra Benmiloud [2], Meriem Haloua [2], Meryem Boubbou [2], Moustapha Hida [1].

[1] Unit of Pediatric Hematology-Oncology, Department of Pediatrics, Mother- Child Hospital University Hospital Hassan II, Faculty of Medicine and Pharmacy, University of Sidi Mohamed Ben Abdellah, 30000 Fez, Morocco. [2] Department of Radiology, Mother-Child Hospital, University Hospital Hassan II, Faculty of Medicine and Pharmacy, University of Sidi Mohamed Ben Abdellah, 30000 Fez, Morocco.

Address of Correspondence

Dr. Mohamed Hbibi, Unit of Pediatric Hematology-Oncology, Department of Pediatrics, Mother- Child Hospital University Hospital Hassan II, Faculty of Medicine and Pharmacy, University of Sidi Mohamed Ben Abdellah, 30000 Fez, Morocco. E-mail: mohamed.hbibi@usmba.ac.ma

Abstract

Osteobalstoma is a benign primary bone tumor which represents 3% of all benign tumors and 1% of all bone tumors. It is localized commonly in the spine. We report the case of a 5 year-old boy with cervicothoracic spine osteoblastoma. The incidence of osteoblastoma is between de second and third decade; our case was seen in the first decade. The evaluation by computed tomography scan and magnetic resonance imaging show the lesion of posterior elements of D1 vertebrae with extension to 4 upper and underlying vertebrae. The decision of excision was taken a long time of discussion because for surgical team, the lesion was mimicking malignancy of the spine. The child had an uneventful postoperative recovery and the pain resolved after surgery. The objective of this article was to report a case of extensive osteoblastoma and to alert the clinician to avoid delay management due to differential diagnosis. Keywords: Osteoblatoma; Pediatric population; MRI; Surgical treatment.

References

1- Karthikeyan M, James H, Prakash S, Yin P, Aye Z, Naresh K; Unusual presentation of osteoblastoma as vertebra plana-a case report and review of literature. Spine J. 2017 Jan;17(1):e1-e5 2- Wesley H, George I J; Pediatric spinal tumors. Handb Clin Neurol. 2013; Vol. 112; p.959-65. 3- Myles S T, MacRae M E; Benign osteoblastoma of the spine in childhood. J Neurosurg. 1988 Jun;68(6):884-8. 4- Fred Ortmann; Osteoblastoma. https://emedicine.medscape.com. Updated: Oct 12, 2020 5- Amirjamshidi A, Abbassioun K; Osteoblastoma of the Third Cervical Vertebra in a 16-Year Old Boy: Case Report and Review of the Literature. Pediatr Neurosurg 2010;46:396–401 6- Joaquim AF, Ghizoni E, Valadares MGC, Appenzeller S, Aguiar SDS, Tedeschi H; Spinal tumors in children. Rev Assoc Med Bras. 2017 May;63(5):459-465 7- Jaffe HL: Benign osteoblastoma. Bull Hosp Joint Dis 1956;17:141–151. 8- Lichtenstein L: Benign osteoblastoma: a category of osteoid and bone-forming tumors other than classical osteoid osteoma, which may be mistaken for giant cell tumor or osteogenic sarcoma. Cancer 1956; 9: 1044–1052. 9- Pavan K A, Sreedhar V, Manas K P; A rare occurrence of osteoblastoma in a child. J Pediatr Neurosci 2010 Jul;5(2):153-6. 10- Cottalorda J , Bourelle S, Vanel O, Berger C, Stéphan J L; Spinal bone tumors in children. Arch Pediatr 2005 Jul;12(7):1131-8. 11- Ajit M, Nupur P, Nandeesh B N, Dhaval S; Cervical Spine Osteoblastoma with an Aneurysmal Bone Cyst in a 2-Year-Old Child: A Case Report. Pediatr Neurosurg .2019;54(1):46-50. 12- http://bonetumor.org/tumors-bone/osteoblastoma 13- Minhao Wu, Keke Xu, Yuanlong Xie, Feifei Yan, Zhouming Deng, Jun Lei, et al; Diagnostic and Management Options of Osteoblastoma in the Spine. Med Sci Monit.2019 Feb 20;25:1362-1372. 14- Galgano MA, Goulart CR, Iwenofu H, Chin LS, Lavelle W, Mendel E. Osteoblastomas of the spine: a comprehensive review. Neurosurg Focus. 2016 Aug;41(2):E4.

How to Cite this article: Hbibi M, Benmiloud S, Haloua M, Boubbou M, Hida M | Case of Cervicothoracic Spine Osteoblastoma in a 5 Year-old Boy | Trauma International | July-December 2020; 6(2): 15-17.

(Abstract)(Full Text HTML) (Download PDF)

Removal of Elastic Stable Intramedullary Nail

July 10, 2020/in Volume 6 | Issue 2 | July-December 2020

Vol 6 | Issue 2 | July-December 2020 | page: 19-21 | Vivek M. Sodhai, Sandeep A. Patwardhan, Parag K. Sancheti, Ashok K. Shyam

Authors: Vivek M. Sodhai [1], Sandeep A. Patwardhan [1], Parag K. Sancheti [1], Ashok K. Shyam [1, 2]

[1] Department of Paediatric Orthopaedics, Sancheti Institute for Orthopaedics & Rehabilitation, Shivaji Nagar, Pune, Maharashtra, India.
[2] Department of Research, Indian Orthopaedic Research Group, Thane (W), Maharashtra. India.

Address of Correspondence
Dr. Vivek M. Sodhai,
Clinical fellow, Department of Paediatric Orthopaedics, Sancheti Institute for Orthopaedics & Rehabilitation, Shivaji Nagar, Pune, Maharashtra, India.
E-mail: vivek.sodhai89@gmail.com

Abstract

Introduction: Removal of the elastic stable intramedullary nail (ESIN) after the union is routinely performed in the pediatric population. However, ESIN removal can be lengthy and difficult due to the strong bonding between nail and bone.
Technique: We preferred keeping the nail tip tangentially flush (<5mm) to the bone to avoid skin irritation. In our technique, after incision and subcutaneous dissection, the nail tip is identified and exposed using a 6-mm osteotome, and a trough is created around it sufficient enough to pass the hollow mill over it. In cases with buried nail tip, a rectangular cortical window may be required. The nail tip is then gently bent at 90° using the hollow mill as the lever taking care not to cause an iatrogenic fracture. The nail tip is held at the bent from sideways with a plier and the nail is removed by rotatory backward motion or reverse impaction using a mallet in cases of strong bonding between nail and bone. Using this technique, ESIN removal was successful in all 28 cases using the previous incision. Of these cases, 10 were forearm (36%), 8 were tibia (28%), 7 were femur (25%) and 3 were humerus (11%). 6 cases (21%) were considered difficult due to increased thickness of the nails, deeper location of the nail tip, and increased bone growth around the tip of nails.
Conclusion: Our technique is simple, innovative, and can be easily reproduced by all Orthopaedic Surgeons. The use of this technique is recommended for all ESIN removals.
Keywords: Diaphyseal fractures; Elastic stable intramedullary nail; Hardware removal; Paediatric long bone.

References

1. Ligier JN, Metaizeau JP, Prevot J (1983) Closed flexible medullary nailing in pediatric traumatology. Chir Pediatr 24;383-385
2. Ligier JN, Metaizeau JP, Lascombes P, et al (1987) Treatment of diaphyseal fractures of both bones of the forearm in children using elastic stable pinning. Rev Chir Orthop Reparatrice L’ppar Moteur 73;(Suppl. 2):149- 151
3. Ligier JN, Metaizeau JP, Prevot J (1985) Elastic stable intramedullary pinning of long bone shaft fractures in children. Z Kinderchir organ Dtsch Schweiz Osterr Ges Kinderchir Surg Infancy Child 40;209-212
4. Fernandez FF, Langendorfer M, Wirth T, Eberhardt O (2010) Failures and complications in intramedullary nailing of children’s forearm fractures. J Child Orthop 4:159-167
5. Simanovsky N, Tair MA, Simanovsky N, Porat S (2006) Removal of Flexible Titanium Nails in Children. J Pediatr Orthop 26:188-192
6. Peterson HA (2005) Metallic Implant Removal in Children. J Pediatr Orthop 25:107-115
7. Slongo TF (2005) Complications and failure of the ESIN technique. Injury 36; S-A78-S-A85
8. Schmalzried TP, Grogan TJ, Neumeier PA, Dorey FJ (1991) Metal removal in a pediatric population: benign procedure or a necessary evil? J Pediatr Orthop 11:72-76
9. Lovell ME, Galasko CSB, Wright NB (1999) Removal of orthopedic implants in children: morbidity and postoperative radiologic changes. J Pediatr Orthop B 8:144-146
10. Simpson-white RW, Bryant R, Davies AG (2018) REMOVAL OF ELASTIC TITANIUM NAILS IN PAEDIATRIC PATIENTS: DIFFICULTY AND COMPLICATIONS. Orthopaedic Proceedings Vol. 95-B, No. SUPP_11
11. Resemyer B (1981) Bone-metal bonding after Kirschner wire studding. Arch Orthop Trauma Surg 98:153-155.
12. Gibon E, Béranger JS, Bachy M, Delpont M, Kabbaj R, Vialle R (2015) Influence of the bending of the tip of elastic stable intramedullary nails on removal and associated complications in pediatric both bone forearm fractures: A pilot study. Int J Surg 16;19-22.

How to Cite this article: Sodhai VM, Patwardhan SA, Sancheti PK, Shyam AK | Removal of Elastic Stable Intramedullary Nail | Trauma International | July-December 2020; 6(2): 19-21.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Case of Cervicothoracic Spine Osteoblastoma in a 5 Year-old Boy

Removal of Elastic Stable Intramedullary Nail

Case of Cervicothoracic Spine Osteoblastoma in a 5 Year-old Boy

Removal of Elastic Stable Intramedullary Nail

Full Sized Blog Element (Big Preview Pic)

Case of Cervicothoracic Spine Osteoblastoma in a 5 Year-old Boy

Authors: Mohamed Hbibi [1], Sarra Benmiloud [2], Meriem Haloua [2], Meryem Boubbou [2], Moustapha Hida [1].

Abstract

References

(Abstract)(Full Text HTML) (Download PDF)

Removal of Elastic Stable Intramedullary Nail

Authors: Vivek M. Sodhai [1], Sandeep A. Patwardhan [1], Parag K. Sancheti [1], Ashok K. Shyam [1, 2]

Abstract

References

(Abstract)(Full Text HTML) (Download PDF)

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