A solitary osteochondroma of the cervical spine: a case report and review of literature

Raswan, Uday Singh; Bhat, Abdul Rashid; Tanki, Humam; Samoon, Nuzhat; Kirmani, Altaf Rehman

doi:10.1007/s00381-017-3394-1

Cited by 15 publications

(10 citation statements)

References 17 publications

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“…It is widely used in clinical practice, even as the first choice for the treatment of spinal tumors, and has achieved good results. There are several widely recognized theories regarding the analgesic principles of PVP at home and abroad [ 18 ]: ① bone cement polymethyl methacrylate (PMMA) is a new type of polymer material. The high heat generated when the monomer polymerizes can damage the local sensory nerve endings; ② the chemical properties of bone cement itself can also destroy the damage of local sensory nerve endings; ③ polymethylmethacrylate (PMMA) itself can kill tumor cells and reduce the damage to bone tissue caused by stimulating factors released by tumors; ④ the pressure reduction in the lesion after puncture is related; ⑤ bone cement (PMMA) has the effect of inhibiting tumor growth; ⑥ bone cement (PMMA) monomer is toxic and can directly kill tumor cells.…”

Section: Analysis and Discussionmentioning

confidence: 99%

Pathological Clinical Analysis and Imaging Manifestations for Spinal Bone Tumors Based on Cement Injection

Wang

et al. 2022

Applied Bionics and Biomechanics

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In order to explore the imaging manifestations and pathological characteristics of spine tumors, this article explores the clinical diagnosis and treatment methods through multi-sample case analysis with the support of imaging, and proposes a targeted treatment method that uses a special PVP needle with a beveled puncture surface for puncture. Moreover, this article uses the supporting PVP syringe for bone cement injection, develops a health status questionnaire, and adopts a scoring method for comprehensive assessment. The purpose of this article is to show that through the combination of preoperative radiotherapy and postoperative bracing, bone cement injection to treat vertebral tumors can immediately obtain satisfactory pain relief. Finally, through case analysis and image performance, we can see that the method proposed in this article has a certain effect.

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Section: Analysis and Discussionmentioning

confidence: 99%

Pathological Clinical Analysis and Imaging Manifestations for Spinal Bone Tumors Based on Cement Injection

Wang

et al. 2022

Applied Bionics and Biomechanics

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“…On reviewing the literature, a total of 207 articles were published from 2004 to August 2020, of which 92 articles 4 …”

Section: Discussionmentioning

confidence: 99%

“… 9 , 12 , 16 Among these, those with neurological symptoms account for .5%–1%. 19 , 20 Of spinal osteochondromas, nearly half of the patients occur in the cervical spine (C2>C3>C6). 8 , 13 , 19 The second most common occurrence of spinal osteochondromas is thoracic lesions.…”

Section: Discussionmentioning

confidence: 99%

Osteochondroma Arising From the Inferior Articular Process of the Lumbar Spine in a Geriatric Patient: A Case Report and Literature Review

Lin

Chen

et al. 2022

Geriatr Orthop Surg Rehabil

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Objective Spinal osteochondromas are rare, and approximately less than 5% occur as spinal lesions. We report the case of a solitary osteochondroma of the spine and review and update the literature on spinal osteochondroma, including surgical treatment and subsequent results. Case Description A 73-year-old female patient complained of a 10-year history of back pain and a 4-year history of right-side lower extremity radiating pain with paresthesia. Computed tomography and magnetic resonance imaging (MRI) revealed a bony mass arising from the inferior articular process (IAP) of L3, presenting with features of compressive spinal stenosis at the L3–L4 level. The treatment strategy included the complete marginal excision of the lesion through the posterior approach, as well as complete decompression of the spinal canal and nerve roots. The patient’s symptoms resolved after surgery, and histopathological examination identified the lesion as an osteochondroma. Review Results This review study included 168 solitary osteochondroma cases. The most commonly involved spinal level was cervical (51.8%), and the most frequent spinal anatomic column involved was the posterior column (70.8%). Radiculopathy accounted for 30.3% of all cases, myelopathy accounted for 31.0%, and 7.7% exhibited both symptoms simultaneously. The recurrence rate was 6.0%. Conclusion Computed tomography and MRI can effectively diagnose spinal osteochondroma, and surgical treatment can effectively improve clinical outcomes. In almost all symptomatic cases, the best treatment is marginal excision of the tumor. Complete resection of the cartilaginous cap of the tumor is especially important to prevent recurrence.

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“…If resection entails destabilizing the spine, instrumentation and arthrodesis should be considered. The goal of surgery should be complete resection of the lesion[ 21 ]. Surgical nuance of our lumbar osteochondroma excision was the use of an ultrasonic bone scalpel.…”

Section: Discussionmentioning

confidence: 99%

Atypical osteochondroma of the lumbar spine associated with suprasellar pineal germinoma: A case report

Suwak¹,

Barnett²,

Song³

et al. 2021

WJO

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BACKGROUND Osteochondromas are the most common benign bone tumor, accounting for 36% of benign bone tumors. Often found within the appendicular skeleton, osteochondromas of the spine are rare, comprising 4% to 7% of primary benign spinal tumors. CASE SUMMARY We report a case of a solitary lumbar osteochondroma in an 18-year-old male with a history of a suprasellar pineal germinoma treated with combined chemotherapy and radiation. He underwent mass excision and partial laminectomy with the ultrasonic bone scalpel (Misonix, Farmingdale, NY, United States) at the L5 Level without the use of adjuvants. The patient returned to work and full activities without back pain at 3 mo postoperatively. CONCLUSION Osteochondromas are common tumors of the appendicular skeleton but rarely occur within the spine. This case discussion supplements current osteochondroma literature by describing an unusual presentation of this tumor.

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A solitary osteochondroma of the cervical spine: a case report and review of literature

Abstract: Spinal osteochondromas must be considered as rare etiology of spinal cord or root compression in the pediatric age group and utmost care should be taken while excising these benign lesions.

Cited by 15 publications

References 17 publications

Pathological Clinical Analysis and Imaging Manifestations for Spinal Bone Tumors Based on Cement Injection

Pathological Clinical Analysis and Imaging Manifestations for Spinal Bone Tumors Based on Cement Injection

Osteochondroma Arising From the Inferior Articular Process of the Lumbar Spine in a Geriatric Patient: A Case Report and Literature Review

Atypical osteochondroma of the lumbar spine associated with suprasellar pineal germinoma: A case report

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