Juan Antonio Ponce-Gómez, María Fernanda Tejada-Pineda, Marco Muñuzuri-Camacho, Sergio Moreno-Jiménez, Samuel Romano-Feinholz, Victor Alcocer-Barradas, Marcela Amparo Osuna-Zazueta, José Pablo Zárate-García, Júlia Moscardini-Martelli, Luis Alberto Ortega-Porcayo
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IM may be located deeply in this region and that could present a challenge for complete resection.</p><p><strong>Case presentation: </strong>A 66-year-old woman presented with progressive lower back pain and radicular symptoms, which were due to a paraspinal IM.</p><p><strong>Case management: </strong>The patient underwent a minimally invasive microsurgical resection assisted by a 45° endoscopic microinspection tool (QEVO) to enhance visualization and access the lateral compartment of the tumor. Microsurgical dissection assisted with endoscopic visualization allowed successful resection of the tumor, including its lateral compartment, without extensive muscle transection. No complications occurred during or after surgery, and the patient reported complete symptom relief with no recurrence after 2 years.</p><p><strong>Technology: </strong>This case demonstrates the value of integrating endoscopic tools in spinal surgery, particularly in cases where conventional microsurgical techniques are insufficient for complete tumor resection using less invasive approaches. The enhanced visualization provided by the 45° endoscope facilitated the successful resection of a paraspinal lesion, improving surgical precision and patient outcomes.</p><p><strong>Conclusions: </strong>The QEVO microinspection tool is an effective adjunct to microsurgical techniques, offering enhanced visualization and precision during tumor resection. This case highlights its potential to address the challenges posed by deeply located paralumbar tumors. As further research explores its use in spine surgery, this microinspection tool could become an important asset in minimally invasive spinal tumor resections, improving patient outcomes through better tissue preservation and complete resection.</p><p><strong>Level of evidence: 5: </strong></p>","PeriodicalId":38486,"journal":{"name":"International Journal of Spine Surgery","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Lumbar Intramuscular Myxoma: Microsurgical Resection With Assistance From an Endoscopic Microinspection Tool.\",\"authors\":\"Juan Antonio Ponce-Gómez, María Fernanda Tejada-Pineda, Marco Muñuzuri-Camacho, Sergio Moreno-Jiménez, Samuel Romano-Feinholz, Victor Alcocer-Barradas, Marcela Amparo Osuna-Zazueta, José Pablo Zárate-García, Júlia Moscardini-Martelli, Luis Alberto Ortega-Porcayo\",\"doi\":\"10.14444/8733\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Intramuscular myxomas (IMs) are rare benign neoplasms of fibroblastic origin, typically presenting in adults, with a female predominance. 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引用次数: 0
摘要
背景：肌内肌瘤（IMs）是一种罕见的纤维母细胞源性良性肿瘤，通常发生在成年人身上，女性居多。肌瘤位于骨骼肌内的情况并不常见，最常见于大腿，但很少发生在脊柱旁区域。IM可能位于该区域的深部，这可能给完全切除带来挑战：病例介绍：一名 66 岁的女性因脊柱旁 IM 引起的进行性下背痛和根性症状而就诊：患者接受了微创显微手术切除，并使用 45° 内窥镜显微检查工具 (QEVO) 进行辅助，以增强可视性并进入肿瘤的侧隔。在内窥镜可视化辅助下进行的显微外科切除术成功地切除了肿瘤，包括肿瘤的外侧隔室，而没有进行大面积的肌肉横切。术中和术后均未出现并发症，患者症状完全缓解，两年后也没有复发：该病例展示了内窥镜工具在脊柱手术中的应用价值，尤其是在传统显微外科技术不足以通过微创方法彻底切除肿瘤的情况下。45° 内窥镜增强了可视性，促进了脊柱旁病灶的成功切除，提高了手术精准度，改善了患者预后：QEVO显微检查工具是显微外科技术的有效辅助工具，可在肿瘤切除过程中提高可视化和精确度。本病例凸显了它在应对深部腰椎肿瘤挑战方面的潜力。随着进一步的研究探索其在脊柱手术中的应用，这种显微检查工具可能成为微创脊柱肿瘤切除术中的重要资产，通过更好地保留组织和完整切除来改善患者的预后：5:
Lumbar Intramuscular Myxoma: Microsurgical Resection With Assistance From an Endoscopic Microinspection Tool.
Background: Intramuscular myxomas (IMs) are rare benign neoplasms of fibroblastic origin, typically presenting in adults, with a female predominance. IMs are uncommonly located in the skeletal muscles, most frequently in the thighs, but rarely in the paraspinal region. IM may be located deeply in this region and that could present a challenge for complete resection.
Case presentation: A 66-year-old woman presented with progressive lower back pain and radicular symptoms, which were due to a paraspinal IM.
Case management: The patient underwent a minimally invasive microsurgical resection assisted by a 45° endoscopic microinspection tool (QEVO) to enhance visualization and access the lateral compartment of the tumor. Microsurgical dissection assisted with endoscopic visualization allowed successful resection of the tumor, including its lateral compartment, without extensive muscle transection. No complications occurred during or after surgery, and the patient reported complete symptom relief with no recurrence after 2 years.
Technology: This case demonstrates the value of integrating endoscopic tools in spinal surgery, particularly in cases where conventional microsurgical techniques are insufficient for complete tumor resection using less invasive approaches. The enhanced visualization provided by the 45° endoscope facilitated the successful resection of a paraspinal lesion, improving surgical precision and patient outcomes.
Conclusions: The QEVO microinspection tool is an effective adjunct to microsurgical techniques, offering enhanced visualization and precision during tumor resection. This case highlights its potential to address the challenges posed by deeply located paralumbar tumors. As further research explores its use in spine surgery, this microinspection tool could become an important asset in minimally invasive spinal tumor resections, improving patient outcomes through better tissue preservation and complete resection.
期刊介绍：
The International Journal of Spine Surgery is the official scientific journal of ISASS, the International Intradiscal Therapy Society, the Pittsburgh Spine Summit, and the Büttner-Janz Spinefoundation, and is an official partner of the Southern Neurosurgical Society. The goal of the International Journal of Spine Surgery is to promote and disseminate online the most up-to-date scientific and clinical research into innovations in motion preservation and new spinal surgery technology, including basic science, biologics, and tissue engineering. The Journal is dedicated to educating spine surgeons worldwide by reporting on the scientific basis, indications, surgical techniques, complications, outcomes, and follow-up data for promising spinal procedures.
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