Osteochondroma of thoracic spine presenting as upper limb radiculopathy (original) (raw)
Related papers
Solitary osteochondroma of the cervical spine causing spinal cord compression
Acta orthopaedica Belgica, 2007
Osteochondromas are common benign tumours of bone that often occur in the metaphysodiaphyseal parts of long bones. They rarely occur in the spine. We present a case of solitary osteochondroma arising from the C-1 vertebral lamina, causing neurological symptoms. A 46-year-old man presented to our institution, complaining of pain and numbness originating from his neck and extending down to his left arm. Radiographs, CT and MRI showed a solitary benign appearing expansile bone tumour arising from the left vertebral lamina of C-1, spreading to C-2, exerting an eccentric posterolateral compression on the spinal cord in the left part of the spinal canal and causing stenosis of the left neural foramen between C-1 and C-2. The lesion was surgically explored through a posterior longitudinal incision. Leaving the left lateral mass of C-1 intact, a left hemilaminectomy was performed. The lesion and the part spreading to C-2 were excised, completely clearing the spinal cord compression. For pos...
A Rare Presentation of Cervical Spine Osteochondroma
Journal of orthopaedic case reports
Cervical spine osteochondromas are rare tumors that usually involve the posterior spinal elements. Osteochondromas of the cervical spine presenting anteriorly as a mass over the supraclavicular region has not been reported in the literature. A 12-year-old boy presented with right sided supraclavicular swelling. Plain radiographs revealed a bony mass. Computerized tomography (CT) and magnetic resonance imaging scans of the cervical region showed a bony mass arising from pedicle and encroaching onto lamina of C6 vertebra. He underwent excision biopsy of the mass through an anterior approach. The histopathological diagnosis was osteochondroma. At 4-year follow-up, he was asymptomatic and CT scan revealed no recurrence. Tumors arising from the posterior elements are difficult to diagnose by plain radiographs alone and require special imaging modalities to show their exact location, nature, and extent.
Symptomatic Solitary Osteochondroma of the Subaxial Cervical Spine in a 52-Year-Old Patient
Asian Spine Journal, 2014
Osteochondromas are the most common benign tumors of the bone. They mostly arise from the appendicular skeleton and present clinically in the second or third decade of life. Ostechondromas arising from the subaxial cervical spine and presenting after the 5th decade of life are extremely rare. We report a 52-year-old male patient who presented with numbness and subjective weakness of left upper and lower limbs and neck pain, and had lobulated bony hard fixed swelling in the right lower cervical paraspinal region. Radiological images revealed a bony swelling arising from C4 and C5 lamina with a cartilaginous cap and intraspinal extension. Excision biopsy with stabilisation of the spine was performed. Histopathalogical examination of the specimen confirmed the diagnosis of osteochondroma. We conclude surgical excision of such rare tumors, including the cartilaginous cap as well as the intraspinal component can reliably produce a good clinical outcome.
Spinal osteochondroma: a report on six patients and a review of the literature
Archives of Orthopaedic and Trauma Surgery, 2010
Introduction Osteochondromas are the most common benign tumour of the bone. They occur in two forms as solitary and hereditary multiple form. Osteochondromas are generally located on the metaphysis of the long bones. From 1 to 4% of osteochondromas occur in the spine. Spinal osteochondromas can cause cord and root compression and also be asymptomatic. In the diagnosis of osteochondromas, radiological methods are very important. Purpose of study Because spinal osteochondroma is very rare, other benign and malign tumours should be kept in mind during differential diagnosis. In this paper, six patients with spinal osteochondral lesions were evaluated at our orthopaedic oncology department. Patients Between 1986 and 2009, six patients, four males, two females with an average age of 31.2 (9–65) were diagnosed with spinal osteochondroma at our clinic. Although one patient was diagnosed following another complaint, five patients were suffering from pain. In addition, four patients had swelling and one patient had neurological symptoms. Five patients were treated surgically, and the sixth one was followed conservatively. Discussion The patients with spinal osteochondral lesions applied with mostly pain and swelling at the dorsal of the vertebrae. Because neurological symptoms are rarely seen, radiological examination is of great importance in diagnosis. Conclusions Patients suffering from spinal osteochondroma, due to the risk of secondary chondrosarcoma, must be closely evaluated both clinically and radiologically. If necessary, the patient must be treated surgically following histopathological diagnosis.
Solitary asymptomatic posterior vertebral intracanal cervical spine osteochondroma
Radiology Case Reports, 2011
An eight-year-old female presented to the emergency room after cervical spine trauma. The patient was asymptomatic prior to the trauma but developed cervical spine tenderness as a result of the trauma. She did not have any symptoms of myelopathy or radiculopathy. A noncontrast CT of the cervical spine was obtained. Although no acute fractures were identified, a solitary, well-circumscribed bone tumor was incidentally identified arising from the posterior margin of the C4 vertebral body, with cortical continuity with the parent vertebra (Fig. 1). The tumor resulted in central canal narrowing. A pre-and postcontrast MRI of the cervical spine was performed for further characterization of the lesion. The MRI demonstrated marrow continuity of the lesion with the C4 vertebral body and a possible small cartilage cap (Fig. 2), consistent with an osteochondroma. There was associated flattening and compression of the anterior spinal cord at the C4 level. No evidence of malignant degeneration was identified. Given the lack of symptomatology, to our knowledge, the lesion was not resected and therefore, definitive pathologic correlation could
Spinal osteochondroma diagnosed by computed tomography
Acta Neurochirurgica, 1981
This paper reports two cases of spinal osteochondroma, in whi& preoperative diagnosis was greatly facilitated by CT scan examination. Moreover, by giving a precise indication of turnout extent, as well as of its relationships with the adjacent structures, CT was of great value also with regard to surgical treatment. Personal experience with the present cases, as well as a review of pertinent literature, suggests that the following CT scan findings may be considered as typical of spinal osteochondroma: a) roundish, sharply-outlined mass; b) bone-like density, with scattered calcifications; c) paraspinal, dumb-bell, or eccentric intraspinal location; d) osteosclerotic &anges in neighbouring bone; e) lack of contrast enhancement. The value of CT scan examination in the diagnosis of vertebral tumours is stressed.
European Spine Journal, 2005
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 , Computer Tomograpy (CT), and Magnetic resonance imaging (MRI) scans of the cervical spine. Whole body bone scintigraphy completed the study.
Low-back pain is the most common symptom encountered in orthopaedic spine outpatient practice. In young adults, the usual causes are soft tissue injuries, myofascial pain, annular tear of the intervertebral disc, sacroiliitis and spondyloarthropathies. We report a case of 20-year-old skeletally mature male presenting with chronic low back pain who was treated symptomatically elsewhere. He presented to us for second opinion and upon clinical assessment, he was diagnosed to have osteochondroma arising from the right postero-superior iliac spine. Osteochondromas are osteo-cartilaginous benign tumour with 1% malignant potential seen in adolescents and young adults. They usually arise from the metaphysis of long bones around the knee and occasionally reported in humerus, spine and pelvis. These lesions are mostly asymptomatic and found incidentally. En-bloc excision of the tumor is recommended for symptomatic osteochondromas. Clinicians should be aware of atypical pelvic osteochondromas which can present as extra-spinal cause of chronic low back pain. This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.