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: 1.16). 01/2010; 26(1):101-104. DOI: 10.1007/s00381-009-0934-3

ABSTRACT 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.