A case of osteochondroma of the cervical spine

Jackson, Alan; Hughes, David G.; Forbes, W S; Stewart, G; Cummings, W J; Reid, H

doi:10.1007/bf00228935

Cited by 28 publications

(17 citation statements)

References 8 publications

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“…About 1-4% of them occur in the spine [1,7]. Spinal osteochondromas can be of two types: (1) spinal osteochondromas in patients with multiple osteochondromas, and (2) solitary osteochondromas occurring in the spine [1,12,15]. It is reported that the age of patients in the first group is 21.6 ± 1.8 years compared to 30.0 ± 2.1 years for those in the second group and that there is a significant male predominance overall (m:f = 2.5:1) [1].…”

Section: Discussion-conclusionmentioning

confidence: 99%

Seventh cervical vertebral body solitary osteochondroma. Report of a case and review of the literature

et al. 2005

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A 46-year-old female presented with a history of dysphagia due to a lump at the left side of her neck that had been there for a period of almost a year. Pain developed when the neck was turned to the right and it deflected to her left arm, or when local pressure was applied. Examining the lump by palpation, an osseous protuberance, a firmly attached to the cervical spine, was noticed at the base of the neck, over the left anterolateral aspect. Imaging assessment involved anteroposterior and lateral plain radiographs ( Figs. 1 and 2), Computer Tomograpy (CT), (Fig. 3) and Magnetic resonance imaging (MRI) scans of the cervical spine. Whole body bone scintigraphy completed the study.On completion of the patient's clinical and radiological investigation, we were led to believe that her complaints were due to a local tumour in the neck that was firmly attached to the spine at the anterolateral aspect of the C7 and that had the characteristics of a solitary osteochondroma. Abstract Solitary osteochondroma of the cervical spine is a rare manifestation of a common bony tumour. It can create symptoms, depending on the adjacent compressed structures. In this report, a patient suffering solitary osteochondroma on the anterolateral aspect of the C7 vertebral body is presented and the literature is reviewed. A 46-year-old female presented with dysphagia and pain at the anterolateral surface of her neck during cervical movements or application of local pressure. The clinical and imaging assessment ascertained that the above complaints were due to a local tumour in the neck firmly attached to the spine at the anterolateral aspect of the C7 and which resembled an osteochondroma. Surgical treatment was chosen due to the persistence of the symptoms. The lump was resected using an anterolateral cervical approach and it was sent to the pathology department for confirmation of the lesion's histological character. The patient was completely relieved of her symptoms. Resection of the osteochondroma seems to be the only reliable solution for definitive relief from the clinical complaints. This surgical treatment, as it is reported, has no major complications and gives good functional results. One to four per cent of the osteochondromas are located at the spine. At the cervical spine, they can cause neurological symptoms and more rarely, dysphagia. Reviewing the literature, no case of solitary osteochondroma located in the anterior aspect of the C7 body was found. Two cases suffering from dysphagia were reported due to external compression by anterior hyperostosis of the cervical spine, but not due to osteochondroma.

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Section: Discussion-conclusionmentioning

confidence: 99%

Seventh cervical vertebral body solitary osteochondroma. Report of a case and review of the literature

et al. 2005

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“…The prevalence of spinal involvement is higher in HME than in solitary exostosis (9%) [1]. The most common location of this tumor is in the posterior elements of the spinal column [3,6]. The predilection for the neural arch could stem from the fact that it has numerous secondary ossification centers (e.g., spinous process, transverse processes and articular processes) that appear between the ages of 11 and 18 years [3].…”

Section: Case Reportmentioning

confidence: 99%

“…The predilection for the neural arch could stem from the fact that it has numerous secondary ossification centers (e.g., spinous process, transverse processes and articular processes) that appear between the ages of 11 and 18 years [3]. The bulk of the tumor grows outside the spinal canal in the surrounding soft tissues of the neck [6]. In total 38 cases of cervical osteochondromas have been described.…”

Section: Case Reportmentioning

confidence: 99%

“…In total 38 cases of cervical osteochondromas have been described. The C2 vertebra is the single commonest site of origin (28% of solitary lesions and 44% of multiple lesions) and approximately 70% of cases occurs in male patients [6]. Osteochondromas arise only in bone formed by enchondral ossification and consist of a bony outgrowth covered with a cartilage cap of variable thickness [2] (Fig.…”

Section: Case Reportmentioning

confidence: 99%

“…Therefore, true frequency of spinal localization is probably underestimated [4]. However, some patients with spinal osteochondromas may present with a palpable mass, local pain or symptoms due to neurological or vascular compression [6]. Neurological complications, including spinal cord compression, myelopathy or nerve root irritation are rare [ 1,7] and are even This picture is suggestive of an osteochondroma less common in patients with solitary spinal osteochondromas [6].…”

Section: Case Reportmentioning

confidence: 99%

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Headache due to an osteochondroma of the axis

2004

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We reported a case of a 42-year-old man with a 3-year history of headache due to a spinal osteochondroma. Repeated neurological evaluation, including EEG studies and CT of the cerebrum, revealed no pathology. More recently the patient presented with persistent headache and a slight limitation of neck motion. MRI studies of the cerebrum including the cervical spine showed a high cervical extradural tumor. Additional CT angiography showed a bony tumor suspected of being a spinal osteochondroma. An en bloc resection of the tumor was performed; histological evaluation confirmed the diagnosis. Immediately after intervention, all symptoms disappeared. In most patients with a spinal osteochondroma, the lesion causes no symptoms, or symptoms are aspecific. Therefore, there is often a significant delay between initial complaints and the diagnosis, as in the current case.

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Osteochondroma of the cervical spine in combination with chronic posttraumatic bisegmental instability

Vrabl

1997

Acta Chir Austriaca

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A case of osteochondroma of the cervical spine

Cited by 28 publications

References 8 publications

Seventh cervical vertebral body solitary osteochondroma. Report of a case and review of the literature

Seventh cervical vertebral body solitary osteochondroma. Report of a case and review of the literature

Headache due to an osteochondroma of the axis

Osteochondroma of the cervical spine in combination with chronic posttraumatic bisegmental instability

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