Posterior midline transpedicular approach for third rib neoplasm

Abstract

Aneurysmal bone cysts are primarily benign neoplastic lesions, often occurring in childhood and adolescent age group. A 27 year old male with neoplastic lesion arising from the posterior end of right third rib, underwent resection without thoracotomy or use of thoracoscopy. In this technique we used posterior midline transpedicular approach and resected with the help of neuronavigation system. Use of neuro navigation system helps to achieve tumour free margin and very usefull in neoplasms closer to the spine. This is a minimally invasive approach for neoplasm arising from the rib without thoracoscopy or thoracotomy.