Osteochondromas of the cervical spine-case series and review

Rajakulasingam, Ramanan; Murphy, John C.; Botchu, Rajesh; James, Steven

doi:10.1016/j.jcot.2019.12.014

Cited by 14 publications

(10 citation statements)

References 16 publications

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“…Osteochondromas may occur in the spine, these are rare lesions and constitute less than 4% of spinal neoplasms, and about 50% of spinal osteochondromas occur in the cervical region [4,[7][8][9][10]. The index case belongs to the rare 4% of spinal neoplasm and 50% of those within the cervical region, thereby conforming to these literatures.…”

Section: Discussionsupporting

confidence: 76%

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Solitary Cervical Spne Osteochondroma Presenting as a Hard-Left Lateral Neck Mass in a Young Lady in a Low Resource Setting: A Case Report

Mb¹,

Saidu²,

Sm³

et al. 2021

CCIJMB

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Spinal osteochondroma are basically of two forms, these are spinal osteochondromas in patients with multiple osteochondromas and solitary osteochondromas occurring in the spine. Osteochondromas are more prevalent among the male gender and has an age of onset between 20-30 years. This is a 27-year-old lady that was referred for plain radiograph of the cervical region on account of a hard mass on the left aspect of the neck that was slowly growing for two years duration. He patient also complai ned of occasional left shoulder, forearm, wrist and hand pain with occasional numbness. The plain radiography was done in both anteriorposterior and lateral projection, showed a soft tissue density fullness and an expansile missed sclerotic and lucent lesion/mass involving the spinous processes of the second to sixth cervical vertebrae. The expansile, and mixed sclerotic and lucent appearance of this area proffered the differential of a solitary cervical spinal osteochondroma. The patient had surgical excision of the t umor, and histopathologic assessment of the tumor confirmed osteochondroma. We report the radiologic finding of a case of Solitary cervical spine osteochondroma in a 27-year-old lady due to its rare nature and presentation.

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Section: Discussionsupporting

confidence: 76%

“…When osteochondromas occur in the spine, they are rare lesions and constitute less than 4% of spinal neoplasms [4,[7][8][9]. Almost 50% of spinal osteochondromas occur in the cervical region [10].…”

Section: Introductionmentioning

confidence: 99%

Solitary Cervical Spne Osteochondroma Presenting as a Hard-Left Lateral Neck Mass in a Young Lady in a Low Resource Setting: A Case Report

Mb¹,

Saidu²,

Sm³

et al. 2021

CCIJMB

View full text Add to dashboard Cite

show abstract

“…On reviewing the literature, a total of 207 articles were published from 2004 to August 2020, of which 92 articles 4 …”

Section: Discussionmentioning

confidence: 99%

“…Spinal osteochondromas are relatively rare, with an incidence rate of 1%–4%. 9 , 12 , 16 Among these, those with neurological symptoms account for .5%–1%. 19 , 20 Of spinal osteochondromas, nearly half of the patients occur in the cervical spine (C2>C3>C6).…”

Section: Discussionmentioning

confidence: 99%

Osteochondroma Arising From the Inferior Articular Process of the Lumbar Spine in a Geriatric Patient: A Case Report and Literature Review

Lin

Chen

et al. 2022

Geriatr Orthop Surg Rehabil

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Objective Spinal osteochondromas are rare, and approximately less than 5% occur as spinal lesions. We report the case of a solitary osteochondroma of the spine and review and update the literature on spinal osteochondroma, including surgical treatment and subsequent results. Case Description A 73-year-old female patient complained of a 10-year history of back pain and a 4-year history of right-side lower extremity radiating pain with paresthesia. Computed tomography and magnetic resonance imaging (MRI) revealed a bony mass arising from the inferior articular process (IAP) of L3, presenting with features of compressive spinal stenosis at the L3–L4 level. The treatment strategy included the complete marginal excision of the lesion through the posterior approach, as well as complete decompression of the spinal canal and nerve roots. The patient’s symptoms resolved after surgery, and histopathological examination identified the lesion as an osteochondroma. Review Results This review study included 168 solitary osteochondroma cases. The most commonly involved spinal level was cervical (51.8%), and the most frequent spinal anatomic column involved was the posterior column (70.8%). Radiculopathy accounted for 30.3% of all cases, myelopathy accounted for 31.0%, and 7.7% exhibited both symptoms simultaneously. The recurrence rate was 6.0%. Conclusion Computed tomography and MRI can effectively diagnose spinal osteochondroma, and surgical treatment can effectively improve clinical outcomes. In almost all symptomatic cases, the best treatment is marginal excision of the tumor. Complete resection of the cartilaginous cap of the tumor is especially important to prevent recurrence.

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“…It generally arises from osteochondroma near the ends of long bones. Osteochondroma can occur in any part of the bone, but most osteochondromas tend to occur in the knee area [5].Osteochondroma can develop during the growth period of the skeletal system [6].It is generally believed that osteochondroma stops increasing in volume at the end of bone growth [7].However, symptoms in adults are often associated with bone development.Osteochondroma is less likely to occur in the spine and is more likely to occur in men than women (M/F ratio :2.5/1).Data show that only 1.3%-4% of single osteochondromas occur in the spine, and 50% of the cases have lesions in the cervical spine, among which the axial vertebra is most often involved [6],the next most common site is the thoracic vertebra.Some studies have suggested that the microtrauma and displacement of growth cartilage in part of epiphyseal caused by greater stress caused by activity is an important reason for the high incidence of cervical and thoracic osteochondroma.Although the mobility of lumbar vertebrae is much higher than that of thoracic vertebrae, the incidence of lumbar vertebrae is low because the ossification center of lumbar vertebrae generally ossifies around 30 years old, later than that of cervical vertebrae and thoracic vertebrae [8].With age, the cartilage on the surface of osteochondroma will become thin, calcify or ossify, or even disappear [9].Intact cartilage caps are seen in only about 30% of patients.In this case, if the lesion occurred in the lumbar spine,Intraoperative cases with intact cartilage caps are rare.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic features of lumbar canal osteochondroma and review of literature

2022

FMSR

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Osteochondroma is a common benign primary bone tumor that can be multiple or solitary and is usually caused by a developmental defect in the growth plate. Osteochondroma usually arises from an osteochondroma near the ends of long bones and is less likely to occur in the spine. Data show that the incidence of single spinal osteochondroma is only 1.3%-4%, and the most common sites are cervical vertebra, thoracic vertebra, thoracolumbar and lumbar vertebra. Osteochondroma of the lumbar spine is rare because its ossification center generally ossified around 30 years of age, later than cervical and thoracic vertebrae. Only about 30% of patients with osteochondroma of the lumbar spine had intact cartilage caps. If the thickness of the cartilage cap is assessed, it is difficult to see on conventional radiographs. Conventional radiographic assessment is usually used to diagnose osteochondroma in the extremities, whereas radiographic diagnosis of osteochondroma in the spine is more difficult. This case was reported as a female patient with a single osteochondroma, which occurred in the lumbar spine and had a complete cartilage cap during the operation. This case is rare, which can provide some help for clinical practice to avoid misdiagnosis and missed treatment of this kind of disease.

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Osteochondromas of the cervical spine-case series and review

Cited by 14 publications

References 16 publications

Solitary Cervical Spne Osteochondroma Presenting as a Hard-Left Lateral Neck Mass in a Young Lady in a Low Resource Setting: A Case Report

Solitary Cervical Spne Osteochondroma Presenting as a Hard-Left Lateral Neck Mass in a Young Lady in a Low Resource Setting: A Case Report

Osteochondroma Arising From the Inferior Articular Process of the Lumbar Spine in a Geriatric Patient: A Case Report and Literature Review

Diagnostic features of lumbar canal osteochondroma and review of literature

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