Osteochondroma causing cervical spinal cord compression

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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“…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%

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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“…7 Osteochondromas should cease growing once skeletal maturity is reached. 4,17 There is a slight male predominance. 4 They may be solitary or multiple as part of hereditary multiple exostoses (HME).…”

Section: Enchondromamentioning

confidence: 99%

“…9 They rarely develop in the spine, with an incidence of 7 to 9% in HME and 1 to 4% in solitary osteochondromas. 17 Osteochondromas are characterized by a hyaline cartilaginous cap with an underlying zone of endochondral ossification. They continue to grow until puberty.…”

Section: Enchondromamentioning

confidence: 99%

Imaging of Pediatric Bone Tumors and Tumor-like Lesions

Al-Qassab

Lalam

Botchu

et al. 2021

Semin Musculoskelet Radiol

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Bone lesions are commonly seen when reporting pediatric skeletal imaging. Distinguishing aggressive from nonaggressive lesions is essential in making the diagnosis. Not all aggressive lesions are neoplastic; indeed, osteomyelitis frequently presents with aggressive appearances and is far more commonly seen in the pediatric population than neoplastic lesions. In this article, we discuss an approach for the diagnosis of pediatric bone tumors and tumor-like conditions. The most common pediatric benign and malignant bone tumors are discussed in more detail.

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“…Los osteocondromas son tumores benignos que representan el 10 -15% de los tumores óseos existentes y entre el 30 y el 50% de los tumores óseos benignos (1)(2)(3)6) . Es, por tanto el tumor óseo benigno más frecuente (2,6) .…”

Section: Introductionunclassified

Cervicalgia y dolor interescapular por osteocondroma cervical

Jarne

Cuen

Buesa

et al. 2022

Rev Fac Cien Med Univ Nac Cordoba

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Antecedentes y objetivo: El osteocondroma es el tumor óseo benigno más frecuente, puede presentarse de forma solitaria o múltiple. Solo el 1 al 4% de los osteocondromas se encuentran en la columna vertebral y de ellos el más frecuente es el localizado a nivel cervical. De todos los osteocondromas espinales solamente el 0,5% desarrollan síntomas insidiosos y progresivos de compresión medular, ya sea en forma de mielopatía o radiculopatía. Estos tumores no crecen una vez completada la maduración ósea, por lo que si la clínica aparece, lo hace principalmente en pacientes jóvenes, entre 20 y 30 años. Metodología: varón joven con tumoración cervical posterior asintomática de un año de evolución que comienza con cervicalgia y dolor interescapular, sin síntomas de alarma. Se decide resección quirúrgica del tumor. Resultados: el resultado anatomopatológico describe la tumoración como un osteocondroma. A los 6 meses de la intervención el paciente no refiere cervicalgia ni dolor interescapular con buen estado de cicatriz y movilidad cervical. Conclusión: Respecto al manejo de estos tumores, el tratamiento quirúrgico, mediante su resección, está indicado, si los pacientes presentan sintomatología, con buenos resultados funcionales y bajo número de complicaciones. Siendo controvertido su manejo en casos asintomáticos.

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Osteochondroma causing cervical spinal cord compression

Cited by 12 publications

References 12 publications

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

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

Imaging of Pediatric Bone Tumors and Tumor-like Lesions

Cervicalgia y dolor interescapular por osteocondroma cervical

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