On spinal osteochondromas

Albrecht, Susanne; Crutchfield, J. S.; SeGall, G K

doi:10.3171/jns.1992.77.2.0247

Cited by 210 publications

(196 citation statements)

References 28 publications

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“…Though CT has been reported to be the preferred imaging procedure for the study of osteochondromas [1], more recent papers report that cervical osteochondromas are best evaluated with routine MRI and noncontrast CT scans [2]. In our case, the MR images demonstrated adequately the relationship of the tumour, the spinal cord, and the adjacent soft tissue.…”

Section: Discussion-conclusionmentioning

confidence: 54%

“…Spinal cord compression is reported more than twice as frequently in the multiple osteochondroma group as is in the single osteochondroma group (77% vs 33%) [1].…”

Section: Discussion-conclusionmentioning

confidence: 92%

Section: Discussion-conclusionmentioning

confidence: 99%

“…About 1-4% of them occur in the spine [1,7]. Spinal osteochondromas can be of two types: (1) spinal osteochondromas in patients with multiple osteochondromas, and (2) solitary osteochondromas occurring in the spine [1,12,15]. It is reported that the age of patients in the first group is 21.6 ± 1.8 years compared to 30.0 ± 2.1 years for those in the second group and that there is a significant male predominance overall (m:f = 2.5:1) [1].…”

Section: Discussion-conclusionmentioning

confidence: 99%

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Seventh cervical vertebral body solitary osteochondroma. Report of a case and review of the literature

et al. 2005

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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 ( Figs. 1 and 2), Computer Tomograpy (CT), (Fig. 3) and Magnetic resonance imaging (MRI) scans of the cervical spine. Whole body bone scintigraphy completed the study.On completion of the patient's clinical and radiological investigation, we were led to believe that her complaints were due to a local tumour in the neck that was firmly attached to the spine at the anterolateral aspect of the C7 and that had the characteristics of a solitary osteochondroma. Abstract Solitary osteochondroma of the cervical spine is a rare manifestation of a common bony tumour. It can create symptoms, depending on the adjacent compressed structures. In this report, a patient suffering solitary osteochondroma on the anterolateral aspect of the C7 vertebral body is presented and the literature is reviewed. A 46-year-old female presented with dysphagia and pain at the anterolateral surface of her neck during cervical movements or application of local pressure. The clinical and imaging assessment ascertained that the above complaints were due to a local tumour in the neck firmly attached to the spine at the anterolateral aspect of the C7 and which resembled an osteochondroma. Surgical treatment was chosen due to the persistence of the symptoms. The lump was resected using an anterolateral cervical approach and it was sent to the pathology department for confirmation of the lesion's histological character. The patient was completely relieved of her symptoms. Resection of the osteochondroma seems to be the only reliable solution for definitive relief from the clinical complaints. This surgical treatment, as it is reported, has no major complications and gives good functional results. One to four per cent of the osteochondromas are located at the spine. At the cervical spine, they can cause neurological symptoms and more rarely, dysphagia. Reviewing the literature, no case of solitary osteochondroma located in the anterior aspect of the C7 body was found. Two cases suffering from dysphagia were reported due to external compression by anterior hyperostosis of the cervical spine, but not due to osteochondroma.

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Section: Discussion-conclusionmentioning

confidence: 54%

“…Spinal cord compression is reported more than twice as frequently in the multiple osteochondroma group as is in the single osteochondroma group (77% vs 33%) [1].…”

Section: Discussion-conclusionmentioning

confidence: 92%

Section: Discussion-conclusionmentioning

confidence: 99%

Section: Discussion-conclusionmentioning

confidence: 99%

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Seventh cervical vertebral body solitary osteochondroma. Report of a case and review of the literature

et al. 2005

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“…Osteochondromas Spinal osteochondromas are rare benign tumors of the spine thought to arise from lateral displacement of a portion of the epiphyseal growth cartilage [22]. Most spinal osteochondromas occur in the posterior cervical spine, causing possible myelopathy or radiculopathy.…”

Section: Cervical Osteophytesmentioning

confidence: 99%

Sleep apnea and cervical spine pathology

et al. 2013

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Purpose Sleep apnea is a multi-factorial disease with a variety of identified causes. With its close proximity to the upper airway, the cervical spine and its associated pathologies can produce sleep apnea symptoms in select populations. The aim of this article was to summarize the literature discussing how cervical spine pathologies may cause sleep apnea. Methods A search of the PubMed database for Englishlanguage literature concerning the cervical spine and its relationship with sleep apnea was conducted. Seventeen published papers were selected and reviewed. Results Single-lesion pathologies of the cervical spine causing sleep apnea include osteochondromas, osteophytes, and other rare pathologies. Multifocal lesions include rheumatoid arthritis of the cervical spine and endogenous cervical fusions. Furthermore, occipital-cervical misalignment pre-and post-cervical fusion surgery may predispose patients to sleep apnea. Conclusions Pathologies of the cervical spine present significant additional etiologies for producing obstructive sleep apnea in select patient populations. Knowledge of these entities and their pathophysiologic mechanisms is informative for the clinician in diagnosing and managing sleep apnea in certain populations.

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