Cervical osteochondroma with postoperative recurrence: Case report and review of the literature
Indiana University Department of Neurosurgery Indianapolis IN USA Child s Nervous System
(Impact Factor: 1.11).
01/2010; 26(1):101-104. DOI: 10.1007/s00381-009-0934-3
IntroductionOsteochondromas of the cervical spine are rare. We report an 8-year-old girl presenting with neck pain and a known familial
predisposition for osteochondromas.
Case reportImaging revealed a presumed osteochondroma of the cervical spine located at C3. A cervical hemilaminectomy of the lesion was
performed. Histopathology confirmed the lesion as an osteochondroma. Six months later, the child was found to have a recurrence
of the previously resected lesion.
ConclusionThe child was reoperated and the lesion removed along with the entire remaining lamina of C3. At 6-year follow-up, there has
been no recurrence of the child's cervical lesion. We believe this to be the third reported case of recurrence of a cervical
osteochondroma. Surgeons dealing with such lesions should be mindful of this complication.
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ABSTRACT: Osteochondromas are the most common benign bone tumor. Although the metaphysial region of long bones is the usual site of these tumors, the vertebrae may be infrequently affected. The presentation may vary from typical compressive myelopathy to radiculopathy or radiculomyelopathy, depending on the site of involvement. The authors present 3 consecutive cases of cervical spine osteochondromas encountered over 3 years at their institution, each different in its site of involvement, presentation, and chosen treatment. The patient in Case 1 had the typical presentation and lesion site, and was treated with a conventional laminectomy. The patient in Case 2 presented with an extensive disease that required complex, staged surgery with spinal fusion and instrumentation. The patient in Case 3 presented with monoradiculopathy and had a facet joint osteochondroma that was successfully treated with a simple partial facetectomy, without laminectomy.
Journal of Neurosurgery Spine 06/2008; 8(6):561-6. DOI:10.3171/SPI/2008/8/6/561 · 2.38 Impact Factor
Free Radical Biology and Medicine 01/2010; 49. DOI:10.1016/j.freeradbiomed.2010.10.445 · 5.74 Impact Factor
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ABSTRACT: 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.
Journal of pediatric orthopaedics. Part B / European Paediatric Orthopaedic Society, Pediatric Orthopaedic Society of North America 09/2011; 21(3):280-5. DOI:10.1097/BPB.0b013e32834c3186 · 0.59 Impact Factor
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