Cervical Periosteal Chondroma Causing Spinal Cord or Nerve Compression: 2 Case Reports and Literature Review

Inoue, Tomoo; Ohara, Yukoh; Niiro, Tadaaki; Endo, Toshiki; Tominaga, Teiji; Mizuno, Jyun ichi

doi:10.1016/j.wneu.2018.03.052

Cited by 5 publications

(8 citation statements)

References 17 publications

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“…We have described a very rare case of chondroma in the ligamentum flavum at the level of the cervical spine. A literature search in 2018 by Inoue et al [8] identified 16 cases of chondroma in the cervical spine region, implying that our case is the 17th to be reported. Moreover, in our patient, the tumor was in the ligamentum flavum at the C4-C5 level.…”

Section: Discussionmentioning

confidence: 84%

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A Rare Case of Acute-Onset Spastic Quadriparesis Caused by a Chondroma of the Cervical Spine

Momota

Nishisho

Miyagi

et al. 2019

Case Reports in Orthopedics

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Chondromas are benign cartilaginous tumors that occur very rarely in the spine. Moreover, chondromas of the extraskeletal origin are also very rare. In this case report, we describe an extremely rare case of chondroma arising from the ligamentum flavum in the cervical spine. A 67-year-old man presented to our clinic with acute-onset spastic quadriparesis. We performed emergent magnetic resonance imaging and found an epidural mass in the right ligamentum flavum at C4-C5. The acute-onset presentation was suspicious for intraligamentous hematoma in the ligamentum flavum at this level. We performed emergency decompression surgery and en bloc removal of the epidural mass with the right C4 and C5 lamina. The lesion had the appearance of cartilaginous tissue rather than hematoma. Based on the histological investigation, the final diagnosis was intraligamentous chondroma of the cervical spine. The quadriparesis improved postoperatively, as did the results of manual muscle testing in the affected area, and he was able to resume walking independently with a cane. At the one-year follow-up, the manual muscle testing results were almost normal. Surgeons should keep in mind the possibility of benign tumors including chondroma of the cervical spine when a patient presents with acute-onset quadriparesis.

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Section: Discussionmentioning

confidence: 84%

“…In 2015, Byun et al reported a case of cervical chondroma and reviewed the literature [7], which at that time contained only 10 cases. More recently, in 2018, Inoue et al reviewed chondroma in the cervical region and identified 16 cases [8]. In most cases, the lesion was found because of paresis.…”

Section: Introductionmentioning

confidence: 99%

A Rare Case of Acute-Onset Spastic Quadriparesis Caused by a Chondroma of the Cervical Spine

Momota

Nishisho

Miyagi

et al. 2019

Case Reports in Orthopedics

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“…A recent review of the literature indicates there have been 18 reported cases of cervical chondroma since 1960 [4]. In this review, Inoue et al highlight that the cervical chondromas may be derived from the vertebral body, lateral mass, lamina, pedicle, transverse process or spinous process [4]. Furthermore, while all cervical spinal levels may be affected, there is an apparent proclivity towards originating from the subaxial spine levels C4, C5, and C6.…”

Section: Discussionmentioning

confidence: 99%

“…Chondromas are uncommonly seen in the cervical spine. A recent review of the literature indicates there have been 18 reported cases of cervical chondroma since 1960 [4]. In this review, Inoue et al highlight that the cervical chondromas may be derived from the vertebral body, lateral mass, lamina, pedicle, transverse process or spinous process [4].…”

Section: Discussionmentioning

confidence: 99%

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Resection of Cervical Juxtacortical Chondroma and Circumferential Spinal Stabilization for Kyphotic Deformity

Sarmiento

Medina

et al. 2019

Cureus

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Chondromas are rare, benign tumors composed of cartilaginous tissue that mainly affect the metaphases of long tubular bones. Juxtacortical (periosteal) chondromas arise from the surface of periosteum and rarely affect the cervical spine. We present a patient with a spinal juxtacortical chondroma causing spinal cord compression and a cervical deformity treated with surgical resection and circumferential spinal fixation and stabilization. A 55-year-old female with past medical history of Crohn’s disease with years of neck pain, balance issues, and left upper extremity radicular symptoms. Cervical spine x-rays show kyphosis with an apex at C5, degenerative changes of the endplates and facet joints, and grade 2 anterolisthesis C4 on C5 with no abnormal motion with flexion/extension. MRI showed a left sided C5-6 extramedullary mass measuring 11 x 11 x 15 mm causing spinal cord compression and neural foraminal narrowing. Her pain is worsening and refractory to physical therapy, gabapentin and methocarbamol. A C4-5 & C5-6 anterior cervical discectomy and fusion, C4-5 & C5-6 laminectomy for tumor resection, and C4-5 & C5-6 posterior fusion with instrumentation was performed. The tumor was completely removed in piecemeal fashion. Microscopic findings showed bland well differentiated cartilaginous neoplasm consistent with juxtacortical chondroma. Postoperative X-rays show partial reduction of C4-5 anterolisthesis and partial reversal of cervical kyphosis. The patient’s radicular pain resolved and neck pain improved postoperatively but she still has some left sided neck pain and hand dysesthesias that are controlled with oral medication one year following surgery. Cervical chondromas are rare, benign cartilaginous tumors that may present with spinal cord or nerve root compression. They are more complex when they present in patients with co-existing spinal deformities. Maximal safe resection followed by spinal re-alignment and fixation without adjuvant chemotherapy or radiation is recommended in most cases. Close follow-up is recommended to monitor for recurrence.

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Chondrosarcoma Arising from the Posterior Iliac Crest Extending into the Spinal Canal

Wada

Sakamoto

Kato

et al. 2021

Case Reports in Orthopedics

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Chondrosarcoma is a malignant tumor characterized by the production of a cartilage matrix. Extension into the spinal canal from the extracannular space is seen mainly for neurogenic tumors, but it is rare in nonneurogenic tumors. A 75-year-old woman suffered from sciatic pain and numbness in her lower left extremity. The diagnosis was of a low-grade conventional chondrosarcoma, which originated from the posterior ilium with an intraspinal extension at the level of the sacrum, compressing the cauda equina. The tumor extended further into the S1 sacral anterior foramen, in the shape of a dumbbell. The tumor was resected in several blocks posteriorly, and the dumbbell-shaped tumor in the S1 foramen was resected by widening the S1 foramen from behind. The posterior extension of the iliac tumor seemed prevented by the posterior sacroiliac ligament, and the tumor extended into the canal. Here, we report that the iliac chondrosarcoma extending into the spinal canal is rare for this tumor type. An understating of the tumor extension is important for planning the surgical strategy.

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Cervical Periosteal Chondroma Causing Spinal Cord or Nerve Compression: 2 Case Reports and Literature Review

Cited by 5 publications

References 17 publications

A Rare Case of Acute-Onset Spastic Quadriparesis Caused by a Chondroma of the Cervical Spine

A Rare Case of Acute-Onset Spastic Quadriparesis Caused by a Chondroma of the Cervical Spine

Resection of Cervical Juxtacortical Chondroma and Circumferential Spinal Stabilization for Kyphotic Deformity

Chondrosarcoma Arising from the Posterior Iliac Crest Extending into the Spinal Canal

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