Spinal osteochondroma: diagnostic imaging and treatment. Case reports

García-Ramos, C L; Buganza-Tepole, Martín; Obil-Chavarria, Claudia; Reyes-Sánchez, Alejandro

doi:10.1016/j.circen.2015.11.001

Cited by 7 publications

(3 citation statements)

References 19 publications

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“…The osteochondroma in both our cases could have arisen from the hyaline cartilage of a second ossification center at the articular process. 6) Most patients with spinal osteochondroma present with neurological symptoms. In the literature review by Yakkanti et al 3) identified 104 of 132 cases of solitary spinal osteochondroma that had information available on whether or not the patients were symptomatic.…”

Section: Discussionmentioning

confidence: 99%

Intracanalicular Osteochondroma in the Lumbar Spine

Shigekiyo

Nishisho

Takata

et al. 2020

NMC Case Report Journal

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Osteochondroma is a common benign bone tumor that is relatively rare in the spine. Here, we report two cases of symptomatic solitary osteochondroma of the lumbar spine. The first case was a 61-year-old man who presented with a 2-year history of right leg numbness. Imaging findings showed that the cause of the radiculopathy was osteochondroma of the right inferior articular process at L4. The tumor was removed en bloc, and the numbness resolved. The second case was a 62-year-old man with osteochondroma of the right superior articular process at L5 that caused pain and numbness in the right leg. En bloc resection of the osteochondroma with the ligamentum flavum relieved the symptoms. Spinal osteochondroma occurs relatively frequently in elderly individuals compared with peripheral lesions and mimics a degenerative spinal disorder. Careful physical examination and imaging evaluation can reveal this tumor and surgery is effective for relieving the symptoms.

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Section: Discussionmentioning

confidence: 99%

Intracanalicular Osteochondroma in the Lumbar Spine

Shigekiyo

Nishisho

Takata

et al. 2020

NMC Case Report Journal

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“…Adanya perdarahan ataupun nekrosis dapat memberi gambaran densitas yang heterogen. 16 Pada MRI, GCT umumnya tampak sebagai lesi hipointense atau isointense pada T1WI dan T2WI, dengan gambaran heterogen pada semua sekuen akibat adanya perdarahan, yang mengalami peningkatan intensitas heterogen pasca penambahan kontras (Gambar 4). Gambaran hipointense pada T2-WI membantu membedakan dengan jenis tumor yang lain pada sakrum, yang umumnya memberi gambaran hiperintense T2WI.…”

Section: Giant Cell Tumor (Gct)unclassified

Tinjauan Literatur : DIFERENSIASI TUMOR PRIMER TULANG BELAKANG SECARA RADIOLOGIS

Aurora

Darinafitri

2019

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Tumor pada tulang belakang yang terbanyak adalah metastasis, namun tumor primer pada tulang belakang lebih jarang didapatkan. Kesulitan dalam menegakkan diagnosis tumor primer pada tulang belakang karena pada tumor primer memiliki beberapa diagnosis banding serta struktur yang kompleks dari tulang belakang. Ketepatan diagnosis sangat penting untuk menentukan terapi dan mempengaruhi prognosis pasien. Karakteristik tumor secara radiologi sangat membantu dalam mengarahkan diagnosis. Evaluasi secara radiologis didasarkan pada lokasi, matriks tumor, dan usia pasien Pemeriksaan radiologis meliputi radiografi , CT scan, MRI, angiografi, sidik tulang (bone scintigraphy) serta single photon emission computed tomography (SPECT) dan positron emission tomography (PET). Masing-masing modalitas memiliki kelebihan dan kekurangan dalam pemeriksaan. Karenanya penting untuk mengetahui karakteristik dari tumor pada tulang belakang dan pilihan pemeriksaan radiologis yang tepat untuk diagnosis tumor pada tulang belakang. Kata kunci: CT scan, MRI, pemeriksaan radiologi, radiografi, tumor tulang belakang.

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“…The HMO syndrome is a clinical concern during the first decade of life in more than 80% of patients. [5][6] Solitary osteochondroma shows a predilection for the metaphysis of the tubular long bones, especially the femur (30%), humerus (26%), and tibia (43%). Lesions are rare on the carpal and tarsal bones, patella, sternum, skull, and spine.…”

Section: Introductionmentioning

confidence: 99%

Osteochondroma of The Spine: a Rare Case Report

Lay, MD,

Gendedy Toembi Tumanggor, MD

2024

IJRP

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Introduction: Osteochondroma is the most common benign bone tumor, accounting for 36% of benign bone tumors. Most commonly found in long bones, reports show that spinal osteochondroma is relatively rare, accounting for only 4% to 7% of primary benign spinal tumors.Case Report: A 29-year-old man came to the outpatient polyclinic of Haji Adam Malik General Hospital Medan with complaints of weakness in the lower limbs since 2013. The patient had a history of trauma in which he was hit by a pedicab in September 2012, Physical examination of the local status of the rear area shows that on inspection abnormal bony prominence was found, on palpation a palpable mass was found on the lumbar area sized 2 x 2 cm, and limited range of motion of the thoracolumbar area due to weakness. Whole Spine MRI without contrast showed straight thoracolumbar and degenerative marrow disease with bulging of L4-5 and L5-S1 discs pressing against the spinal canal. Mass on the right side of Th 11 to L1 involving the right multifidus lumborum muscle and right longissimus thoracis muscle, attached to the arch up to the spinous process compresses the spinal canal and the right side of the neural foramen. TREATMENT: The treatment of this patient is an open biopsy, tumor excision, Th10-12 laminectomy, and Th9-Th10-L1 posterior stabilization.Discussion: Total tumor resection is recommended for neurological repair and to reduce the risk of malignant transformation, although the risk of malignant transformation remains low. Spinal fusion and posterior instrumentation may be required to prevent spinal instability after extensive laminectomy in surgical procedures. In this case, the fusion procedure is performed and showed excellent clinical outcome after total resection of spinal osteochondromas. In this patient, there was no significant motor improvement, but sensory improvement was found at right and left L3 levels compared to the preoperative baseline. Conclusion:Patients with spinal osteochondroma are rare cases. MRI and biopsy are tests that can be used to confirm the diagnosis. The best approach to this treatment is excision of the tumor. Careful surgical excision with complete resection is important to prevent recurrence.

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Spinal osteochondroma: diagnostic imaging and treatment. Case reports

Cited by 7 publications

References 19 publications

Intracanalicular Osteochondroma in the Lumbar Spine

Intracanalicular Osteochondroma in the Lumbar Spine

Tinjauan Literatur : DIFERENSIASI TUMOR PRIMER TULANG BELAKANG SECARA RADIOLOGIS

Osteochondroma of The Spine: a Rare Case Report

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