Spinal cord compression due to vertebral osteochondroma: report of two cases

Faïk, Afaf; Filali, Saoussan Mahfoud; Lazrak, N.; Hassani, S. El; Hajjaj–Hassouni, N.

doi:10.1016/j.jbspin.2004.02.004

Cited by 37 publications

(22 citation statements)

References 4 publications

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“…3) Spinal osteochondroma is uncommon, representing only 1.3-4.1% of all osteochondromas. 6) Spinal osteochondroma rarely causes neurological symptoms such as radiculopathy 3) or myelopathy. 10) Osteochondroma arising from the atlas and causing myelopathy is extremely rare, with only six reported cases of spinal cord decompensation due to atlas osteochondroma compressing the spinal cord.…”

Section: Introductionmentioning

confidence: 99%

Cervical Myelopathy Caused by Atlas Osteochondroma and Pseudoarthrosis Between the Osteochondroma and Lamina of the Axis -Case Report-

Miyakoshi

Hongo

Kasukawa

et al. 2010

Neurol. Med. Chir.(Tokyo)

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A 58-year-old man presented with a 6-month history of progressive cervical myelopathy. Magnetic resonance imaging and computed tomography of the cervical spine revealed a bone tumor arising from the posterior arch of the atlas and osteophytes at a pseudoarthrosis between the tumor and the lamina of the axis, resulting in marked spinal cord compression. The patient's symptoms resolved after en bloc resection of the tumor and removal of the osteophytes. The histological diagnosis was osteochondroma. The primary cause of myelopathy in the present case was osteochondroma arising from the posterior arch of the atlas, but the osteophyte formations appearing at the pseudoarthrosis between the atlas osteochondroma and the lamina of the axis might also have contributed to the symptoms, which appeared when the patient was in his late 50s.

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Section: Introductionmentioning

confidence: 99%

Cervical Myelopathy Caused by Atlas Osteochondroma and Pseudoarthrosis Between the Osteochondroma and Lamina of the Axis -Case Report-

Miyakoshi

Hongo

Kasukawa

et al. 2010

Neurol. Med. Chir.(Tokyo)

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“…28 In HME, thoracic and lumbar vertebrae are more commonly affected, while in solitary type cervical spine is commonly involved. 17 The involvement of sacrum is rare in both the types. A review of literature revealed about 27 cases of thoracic myelopathy due to spinal exostosis in HME [ …”

Section: Discussionmentioning

confidence: 99%

Osteochondroma of Lower Dorsal Spine in Hereditary Multiple Exostosis Causing Spinal Cord Compression: Report of a Case and Review of the Literature

Mohabey¹

2017

jmscr

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“…39 Osteochondromas are best visualized on CT rather than MRI, as the bony nature of the lesions is most clearly delineated. 7 Magnetic resonance imaging is the examination method of choice for detecting complications such as bursa formation, vascular compromise, tendon or nerve compression, and malignant transformation. 39 Magnetic resonance imaging is valuable for verifying peripheral compressive neuropathies caused by osteocartilaginous exostoses.…”

Section: Discussionmentioning

confidence: 99%

“…44 On MR images, osteochondromas are observed as an isointense signal with a low-signal rim produced by the cortical bone. 7 Preoperative MR images and CT scans should be examined carefully to provide optimal information about the lesion and aid treatment options.…”

Section: Discussionmentioning

confidence: 99%

Peripheral nerve injuries due to osteochondromas: analysis of 20 cases and review of the literature

Göçmen¹,

Topuz²,

Atabey³

et al. 2014

JNS

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Object. Nerve compressions due to osteochondromas are extremely rare. The aim of this retrospective study was to investigate the mechanisms, diagnostic evaluations, and treatment of nerve lesions due to osteochondromas, and to review the literature.Methods. The authors retrospectively reviewed their clinic data archive from 1998 through 2008, and 20 patients who were operated on due to peripheral nerve injuries caused by osseous growth were enrolled in the study. Patients' age, duration of symptoms, localizations, intraoperative findings, and modified British Medical Research Council (MRC) and electromyography data obtained from hospital records were evaluated. The literature on this topic available in PubMed was also reviewed. All 20 patients underwent surgery, which consisted of tumor excision performed by orthopedic surgeons and nerve decompression performed by neurosurgeons.Results. There were 17 men and 3 women included in the study, with a mean age of 21 years (range 18-25 years). Three patients had multiple hereditary exostoses, and 17 had a solitary exostosis. All of the patients underwent en bloc resection. The most common lesion site was the distal femur (45%). The peroneal and posterior tibial nerves were the structures that were affected the most frequently. The mean follow-up was 3.9 years (range 2-7 years). After the surgery, all patients (100%) experienced good sensory recovery (modified MRC Grade S4 or S5).Conclusions. To the authors' knowledge, no large series have reported peripheral nerve compression due to exostoses. The authors have several recommendations as a result of their findings. First, all patients with peripheral nerve compression due to an osteochondroma should undergo surgery. Second, preoperative electromyographic examinations and radiographic evaluation, consisting of MRI and CT to provide optimal information about the lesion, are crucially important. Third, immediate treatment is mandatory to regain the best possible recovery. And fourth, performing nerve decompression first and en bloc resection of osteochondroma consecutively in a multidisciplinary fashion is strongly recommended to avoid peripheral nerve injury.

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Spinal cord compression due to vertebral osteochondroma: report of two cases

Cited by 37 publications

References 4 publications

Cervical Myelopathy Caused by Atlas Osteochondroma and Pseudoarthrosis Between the Osteochondroma and Lamina of the Axis -Case Report-

Cervical Myelopathy Caused by Atlas Osteochondroma and Pseudoarthrosis Between the Osteochondroma and Lamina of the Axis -Case Report-

Osteochondroma of Lower Dorsal Spine in Hereditary Multiple Exostosis Causing Spinal Cord Compression: Report of a Case and Review of the Literature

Peripheral nerve injuries due to osteochondromas: analysis of 20 cases and review of the literature

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