Format

Send to

Choose Destination
World Neurosurg. 2017 Jan;97:752.e5-752.e13. doi: 10.1016/j.wneu.2016.10.061. Epub 2016 Oct 21.

Cervical Osteochondroma Causing Myelopathy in Adults: Management Considerations and Literature Review.

Author information

1
Department of Neurosurgery, Stanford University School of Medicine, Stanford, California, USA.
2
Department of Neurosurgery, Stanford University School of Medicine, Stanford, California, USA. Electronic address: atman@stanford.edu.

Abstract

BACKGROUND:

Osteochondromas are the most frequent benign bone tumors but only rarely occur along the spinal column and even more rarely induce symptoms from spinal cord compression.

CASE DESCRIPTIONS:

We report 2 adult patients, both with a history of hereditary multiple exostoses, who presented with cervical myelopathy secondary to osteochondromas. The first patient is a 22-year-old man with numbness and weakness of his right upper limb and neck pain. Radiologic images showed a bony tumor arising from the C3 lamina with evidence of severe spinal cord compression. The second patient is a 20-year-old woman with weakness of her left upper and lower limbs and progressive numbness of the left hand, as well as neck and back pain. Radiologic images showed a bony tumor arising from the C4 lamina with evidence of significant spinal cord compression and cord signal abnormality. Both patients underwent surgical excision of the epidural mass and pathology confirmed a diagnosis of osteochondroma.

CONCLUSIONS:

We discuss the role of surgical intervention, management, and postoperative follow-up in adult patients with cervical osteochondromas. Recommended management includes radiographic imaging and surgical intervention, particularly when evidence of spinal cord impingement occurs. Consistent postoperative follow-up is necessary to ensure appropriate recovery of neurologic function. Surgical management of cervical osteochondromas typically results in excellent and stable clinical outcomes with rare recurrence.

KEYWORDS:

Myelopathy; Osteochondroma; Spinal cord

PMID:
27777159
DOI:
10.1016/j.wneu.2016.10.061
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center