Intractable Neck Pain Due to Osteoblastoma: A Case Report and Review of the Literature (original) (raw)
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Osteoid osteoma and osteoblastoma of the cervical spine: the cause of unusual persistent neck pain
Pain physician
The most important symptom in patients with osteoid osteoma and osteoblastoma is a resistant localized neck pain and stiffness in the spine. To evaluate and analyze 6 cases of osteoid osteoma and osteoblastoma of the cervical spine that were surgically treated over a 7-year period and to emphasize the unusual persistent neck pain associated with osteoid osteoma and osteoblastoma of the cervical spine. Retrospective study. Six patients, 3 male and 3 female, with a mean age of 21 years (range 16-31) diagnosed with osteoid osteoma or osteoblastoma during 2003 to 2009 were analyzed retrospectively. The preoperative neurological and clinical symptoms, neck pain duration, preoperative deformity, location of lesion, radiological findings, surgical technique and clinical follow-up outcomes of each patient were evaluated. The average follow-up duration was 40.5 months (range, 19 to 83 months). Three patients had osteoid osteoma (2 female and one male), and 3 patients had osteoblastoma (one f...
Osteoblastoma of the cervical spine
Archives of Orthopaedic and Trauma Surgery, 1989
This case report demonstrates the importance of an exact workup in unclear neckpain. An osteoblastoma situated in the pedicule of C6 is described. During 36 months there was no diagnosis made. Only by a CT-scan a tumorous lesion in the pedicule of C6 with the histology of a benign osteoblastoma was found. The therapy consisted in excision of the tumor of C6. A fusion was added because important parts of the joint were involved.
Osteoblastoma of the Cervical Spine: A Case Report
Ankara Üniversitesi Tıp Fakültesi mecmuası, 2010
CERRAHİ BİLİMLER / SURGICAL SCIENCES Olgu Sunumu / Case Report Osteoblastoma of the cervical spine extending from the C4 vertebral body to the paraspinal area is reported. Clinical, radiological and histological characteristics of the lesion are presented. The tumor's location, extension to the paraspinal area and response of the adjacent soft tissues are discussed.
Osteoblastoma-like osteosarcoma of the cervical spine: A case study
2019
Osteoblastoma-like osteosarcomas, a less aggressive variant of osteosarcomas, are rare tumors presenting a clinical and histopathological diagnostic challenge. We have found few case reports of this tumor in the literature. In this case, we describe an osteoblastoma-like osteosarcoma of the cervical spine in a 16-year-old patient. CT-guided bone biopsy showed a lesion with a permeated growth pattern, which led to the suspicion of an osteoblastoma-like osteosarcoma. A total en bloc spondylectomy was performed through a dual approach. We present the clinical case, the diagnostic sequence, the surgical approach and 10-year follow-up results.
A Fatal Case of Primary Osteogenic Sarcoma of Cervical Spine: A Rare Entity
Journal of Medical Science And clinical Research, 2017
Primary osteosarcoma of cervical spine is a rare condition with poor prognosis .The clinical, radiological as well as histopathological features of osteosarcoma vary widely, often leading to diagnostic difficulties. The report highlights the rarity of osteosarcoma of the cervical vertebra wherein the radiological and clinical findings suggested an infective pathology and histological findings remained the gold standard for final diagnosis of neoplastic etiology. A 21-year-old female presented with pain in the nape of the neck and tingling numbness in left upper & lower limb. On examination patient had quadriparesis. Radiological investigations were suggestive of infective etiology most likely Koch's causing involvement of C3-C5 vertebrae with prevertebral, paravertebral, parapharyngeal and intraspinal infective soft tissues abscess. She underwent C4 laminectomy with excision of the lesion and C1-C7 fixation with titanium Hartshil. The patient eventually died in the post-operative period. The intraoperative squash diagnosis was reported as a spindle cell tumor with malignant potential. The subsequent neuropathological diagnosis of C4 vertebral tumor on paraffin sections revealed characteristic features of osteogenic sarcoma (osteoblastic variant) showing osteoblastic giant cells and neoplastic growth of atypical spindle shaped cells arranged in sheets and trabeculae laying down mineralized osteoid and permeating the adjoining host bone. Early detection and accurate diagnosis is important for improving not only patient prognosis but also the quality of life. We should always consider this rare entity, particularly in young patients who present with intractable neck pain.
A spinal osteoblastoma in a child, situated in the vertebral body – CT and MR imaging
Paediatrics Today, 2016
Objective-To report a rare case of a lumbar spinal osteoblastoma involving only the vertebral body. Case report-A 10-year-old boy presented with low back and leg pain, difficulty walking, limping with his right leg, discreet scoliosis on the left side, and lumbar paraspinal muscle spasms. The Lasegue sign for both sides was positive at around 45 degrees. Babinski's sign and sensory changes were not noted. The boy was evaluated by X-ray, computed tomography (CT) and magnetic resonance imaging (MRI) of the lumbosacral spine. CT and MRI scans revealed an expansile lesion that involved the posterior part of the L4 vertebral body, sparing the posterior osseus elements of the L4 vertebra. The lesion extended into the spinal canal, with compression of the thecal sac and the left L5 nerve root. MR images showed osseus edema of the remainder of the L4 vertebral body, enhanced homogeneously. Peritumoral edema extended into the epidural soft-tissue. Total removal of the tumor was performed. The histopathological finding was an aggressive osteoblastoma. Conclusion-Spinal osteoblastomas are extremely rarely situated in the vertebral body alone. CT and MRI are very important methods for delineation of the location, osseous involvement, peritumoral edema and spread of the tumor in the epidural space, with the possible compression by the tumor of the neural elements of the vertebral canal. Total removal of the osteoblastoma is very important because some osteoblastomas may be aggressive, with a tendency to local recurrence and sometimes metastasis.
Revista de la Asociación Argentina de Ortopedia y Traumatología
El osteosarcoma “tipo osteoblastoma”, una variante menos agresiva del osteosarcoma, es una enfermedad poco frecuente y representa un desafío diagnóstico tanto clínico como histopatológico. Se han publicado escasos reportes de casos de este tumor.Presentamos a un paciente de 16 años con un osteosarcoma “tipo osteoblastoma” localizado en la columna cervical. La biopsia ósea bajo tomografía reveló una lesión con un patrón de crecimiento permeativo, con sospecha de osteosarcoma “tipo osteoblastoma”. Se realizó una espondilectomía total en bloque mediante un doble abordaje. Se describen el caso clínico, la secuencia diagnóstica, la técnica quirúrgica y el seguimiento a 10 años. ABSTRACT Osteoblastoma-like osteosarcoma; a less aggressive variant of osteosarcoma;is a rare entity and represents a clinical and histopathological diagnostic challenge. We have found few reports of cases of this tumor in the literature. In this case we describe an osteoblastoma-like osteosarcoma located in the c...
Osteoblastoma of the lumbar spine in an adolescent: A case report and review of literature
Journal of Clinical Orthopaedics, 2021
Introduction: Osteoblastomas are primary bone tumors representing 1% of all bone tumors and 10% of all spinal osseous neoplasms with a predilection for posterior elements. Case Report: A 13-year-old boy with insidious backache for six months presented with progressive radiating paraesthesia and claudication, restricted lumbar motion and positive straight leg test bilaterally with weakness of left ankle dorsiflexion. Radiograph showed an subtle expansile lytic lesion in the L3 posterior elements. CT and MRI revealed a space-occupying lesion of the L3 vertebra lamina, involving the left pedicle causing severe spinal canal stenosis. Excision of the posterior elements of the L3 vertebra including the facet and left pedicle and short segment fixation from L2-L4 using autogenous rib was done. At two years postoperatively, he was asymptomatic, neurologically normal, showing radiographic evidence of union with no recurrence. Conclusions: Autogenous structural rib can be used for posterolate...