Osteochondroma of the Cervical Spine Extending Multiple Segments with Cord Compression

Moon, Kyung‐Sub; Lee, Jung-Kil; Kim, Yeon-Seong; Kwak, Hae‐Soo; Joo, Sung‐Pil; Kim, In-Young; Kim, Jae-Hyoo; Kim, Soo-Han

doi:10.1159/000094067

Cited by 24 publications

(6 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nevertheless, the risk of postoperative recurrence for solitary osteochondromas after excision is low, ranging from 2% to 5% in limited case reports and case series without adequate follow-up. 18,20,29 Here, we report a slightly higher overall recurrence incidence of 8% (2 cases). Both recurrences were treated with wide or marginal resections.…”

Section: Discussionmentioning

confidence: 46%

Long-term outcomes in primary spinal osteochondroma: a multicenter study of 27 patients

Sciubba

Macki

Bydon

et al. 2015

SPI

View full text Add to dashboard Cite

OBJECT Clinical outcomes in patients with primary spinal osteochondromas are limited to small series and sporadic case reports. The authors present data on the first long-term investigation of spinal osteochondroma cases. METHODS An international, multicenter ambispective study on primary spinal osteochondroma was performed. Patients were included if they were diagnosed with an osteochondroma of the spine and received surgical treatment between October 1996 and June 2012 with at least 1 follow-up. Perioperative prognostic variables, including patient age, tumor size, spinal level, and resection, were analyzed in reference to long-term local recurrence and survival. Tumor resections were compared using Enneking appropriate (EA) or Enneking inappropriate surgical margins. RESULTS Osteochondromas were diagnosed in 27 patients at an average age of 37 years. Twenty-two lesions were found in the mobile spine (cervical, thoracic, or lumbar) and 5 in the fixed spine (sacrum). Twenty-three cases (88%) were benign tumors (Enneking tumor Stages 1–3), whereas 3 (12%) exhibited malignant changes (Enneking tumor Stages IA–IIB). Sixteen patients (62%) underwent en bloc treatment—that is, wide or marginal resection—and 10 (38%) underwent intralesional resection. Twenty-four operations (92%) followed EA margins. No one received adjuvant therapy. Two patients (8%) experienced recurrences: one in the fixed spine and one in the mobile spine. Both recurrences occurred in latent Stage 1 tumors following en bloc resection. No osteochondroma-related deaths were observed. CONCLUSIONS In the present study, most patients underwent en bloc resection and were treated as EA cases. Both recurrences occurred in the Stage 1 tumor cohort. Therefore, although benign in character, osteochondromas still require careful management and thorough follow-up.

show abstract

Section: Discussionmentioning

confidence: 46%

Long-term outcomes in primary spinal osteochondroma: a multicenter study of 27 patients

Sciubba

Macki

Bydon

et al. 2015

SPI

View full text Add to dashboard Cite

show abstract

“…On reviewing the literature, we found 8 cases of cervical osteochondroma in the pediatric age group (<18 years; table 1) [9,10,11,12,13,14,15,16]. …”

Section: Discussionmentioning

confidence: 99%

Compressive Myelopathy due to Osteochondroma of the Atlas and Review of the Literature

Sultan¹,

Nayil²,

Makhdoomi³

et al. 2016

Pediatr Neurosurg

View full text Add to dashboard Cite

We report a case of vertebral osteochondroma arising from the posterior C1 arch that presented with features of compressive myelopathy. Osteochondromas are usually found in extremities and are rarely seen in the spine. They are most commonly found in posterior elements in the spine, and intraspinal extension is uncommon. The most common presentation is incidental finding during routine imaging followed by palpation of painless swelling. Compressive myelopathy as a presentation of vertebral osteochondroma in a child is a rare entity. Surgical excision is the treatment of choice. Spinal osteochondromas should also be kept in mind as a cause of spinal cord or nerve root compression in children.

show abstract

“…Most solitary and hereditary osteochondromas (56-80%) tend to occur in cervical spine [1] although they are uncommon cervical vertebral tumours [8]. Most common location for a spinal lesion in a patient with HME seems to be C2 vertebra [9][10][11]. The vulnerability of axis vertebra to increased microtrauma at epiphysis, owing to its higher flexibility, leads to an induction of exostotic growth.…”

Section: Discussionmentioning

confidence: 99%

“…The patient profile, clinical presentations, treatment and complications of cervical osteochondromas have been outlined in brief in Table 1 [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30]. Clinical manifestations include a painless/ painful mass, myelopathy, radiculopathy, vertebral artery compression or pressure symptoms over pharynx, oesophagus and larynx.…”

Section: Discussionmentioning

confidence: 99%

Giant osteochondroma of axis in a child with multiple hereditary exostoses

Tahasildar

Sudesh²,

Goni³

et al. 2012

Journal of Pediatric Orthopaedics B

View full text Add to dashboard Cite

Though osteochondromas are the most common benign bone tumour, their spinal involvement is less frequent. We report a case of osteochondroma in a 5-year-old female child with multiple hereditary exostoses that originated from posterior elements of C2 vertebra, not involving spinal canal and caused restriction of neck movement. It was excised from its base without disturbing the continuity of lamina. Two years later she had normal neck movements without any recurrence. The rarity of this tumour at this location, with such a large size at an early age, makes this article unique.

show abstract

Osteochondroma of the Cervical Spine Extending Multiple Segments with Cord Compression

Cited by 24 publications

References 30 publications

Long-term outcomes in primary spinal osteochondroma: a multicenter study of 27 patients

Long-term outcomes in primary spinal osteochondroma: a multicenter study of 27 patients

Compressive Myelopathy due to Osteochondroma of the Atlas and Review of the Literature

Giant osteochondroma of axis in a child with multiple hereditary exostoses

Contact Info

Product

Resources

About