Abstract
Osteochondromas are the most common benign bone tumor typically seen in the appendicular
skeleton and are rarely found in the spine. We present a case of an osteochondroma
of the spine presenting with spinal cord compression.
27-year-old male presented with lower extremity weakness and paresthesia, decreased
lower extremity sensation, and decreased proprioception. MRI showed a heterogeneous
mass with minimal peripheral enhancement and without restricted diffusion. CT demonstrated
a calcified mass extending from the left facet joint of T11–T12 with medial extension,
resulting in severe central canal stenosis and cord compression. The patient underwent
surgical resection with pathology demonstrating an osteochondroma.
Abbreviations:
MRI (Magnetic resonance imaging), CT (Computed tomography)Keywords
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References
- On spinal osteochondromas.J Neurosurg. 1992; 77: 247-252
- Osteochondromas: review of the clinical, radiological and pathological features.In Vivo. 2008; 22: 633-646
- Radiation-induced osteochondroma in the lumbar spine.Spine (Phila Pa 1976). 1994; 19: 376-379
- Long-term outcomes in primary spinal osteochondroma: a multicenter study of 27 patients.J Neurosurg Spine. 2015; 22: 582-588
- Spinal osteochondroma: spectrum of a rare disease.J Neurosurg Spine. 2008; 8: 561-566
- Cervical osteochondroma with postoperative recurrence: case report and review of the literature.Childs Nerv Syst. 2010; 26: 101-104
- Spinal osteochondroma: a report on six patients and a review of the literature.Arch Orthop Trauma Surg. 2010; 130: 1459-1465
- Single cervical exostosis. Report of a case and review of the literature.Surg Neurol. 1992; 37: 26-29
- Osteochondroma of the cervical spine: case report and review of the literature.Br J Neurosurg. 1994; 8: 359-363
- Spinal osteochondromas in middle-aged to elderly patients.Spine (Phila Pa 1976). 2002; 27: E503-E506
- Osteochondroma of the upper cervical spine.A case report Spine (Phila Pa 1976). 1996; 21: 516-518
- Benign cartilaginous tumours of the spine. A report of one case together with a review of the literature.Br J Surg. 1971; 58: 707-711
- Solitary thoracic osteochondroma: case report and review of the literature.Neurosurgery. 2005; 56 (discussion E): E1379
- Solitary osteochondroma, from the pedicle of T1, causing spinal cord compression.N J Med. 1994; 91: 91-93
- Lumbar osteochondroma and radicular compression. A case report.Acta Ortop Mex. 2007; 21: 261-266
- Spinal cord compression due to vertebral osteochondroma: report of two cases.Joint Bone Spine. 2005; 72: 177-179
- Osteochondroma of the L-5 vertebra: a rare cause of sciatic pain.Case report J Neurosurg. 1999; 91: 219-222
- Cervical spinal cord compression due to an osteochondroma in hereditary multiple exostosis: case report and review of the literature.Surg Neurol. 2006; 66: S7-S11
- Radiation-induced osteochondroma of the T4 vertebra causing spinal cord compression.Eur Radiol. 2002; 12: 844-848
- Osteochondroma with compression of the spinal cord. A report of two cases.J Bone Joint Surg (Br). 1999; 81: 667-669
- A case of osteochondroma of the cervical spine.Skelet Radiol. 1995; 24: 235-237
- Solitary osteochondroma of spine causing spinal cord compression.Clin Neurol Neurosurg. 1985; 87: 135-138
- Solitary osteochondroma of the spine.Spine (Phila Pa 1976). 1986; 11: 625-628
- Pediatric solitary osteochondroma of T1 vertebra causing spinal cord compression: a case report.South Asian J Cancer. 2013; 2: 144
- Osteochondroma of the cervical spine.MR findings Clin Imaging. 1995; 19: 275-278
- Solitary lumbar osteochondroma presenting with spinal cord compression.BMJ Case Rep. 2013; 2013
- Spinal cord compression by an osteochondroma in a patient with multiple osteochondromatosis.Case report J Neurosurg. 1984; 60: 420-423
- Solitary osteochondroma of the cervical spine causing spinal cord compression.Acta Orthop Belg. 2007; 73: 133-136
- Osteochondroma with spinal cord compression: report of three cases.J Neurosurg. 1980; 52: 842-845
- Solitary spinal osteochondroma causing neural syndromes.Paraplegia. 1992; 30: 678-680
- Osteochondroma of the thoracic spine: an unusual cause of spinal cord compression.AJNR Am J Neuroradiol. 1996; 17: 961-964
- Solitary osteochondroma of the atlas causing spinal cord compression: a case report and literature review.BMJ Case Rep. 2012; 2012
- Osteochondroma of the sacrum: a case report and review of the literature.Spine (Phila Pa 1976). 2006; 31: E425-E429
- Osteochondroma of the spine: an enigmatic tumor of the spinal cord. A series of 10 cases.J Neurosurg Sci. 2002; 46 (discussion): 66-70
- Concurrent occurrence of solitary spinal epidural osteochondroma and angiolipoma.Clin Neuropathol. 1997; 16: 107-110
- A solitary osteochondroma of the pediatric thoracic spine: a case report and review of the literature.Am J Orthop (Belle Mead NJ). 2000; 29: 711-714
- Spinal osteochondroma diagnosed by computed tomography. Report of two cases and review of literature.Acta Neurochir. 1981; 58: 105-114
- Osteochondroma in the lumbar intraspinal canal causing nerve root compression.Orthopedics. 2009; 32: 133
- Solitary osteochondroma of the lower cervical spine.Orthopedics. 2001; 24: 292-293
- Osteochondroma of the C5 lamina with cord compression: case report and review of the literature.Spine (Phila Pa 1976). 2000; 25: 1293-1295
- Primary bone tumors of the spine.Terminology and Surgical Staging Spine (Phila Pa 1976). 1997; 22: 1036-1044
- Treatment of costal osteochondroma causing spinal cord compression by costotransversectomy: case report and review of the literature.Clin Pract. 2015; 5: 734
Article info
Publication history
Published online: May 29, 2017
Accepted:
May 15,
2017
Received in revised form:
May 12,
2017
Received:
February 26,
2017
Identification
Copyright
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