Solitary thoracic spine osteochondroma: a rare cause for spinal cord compression.


Journal

Spinal cord series and cases
ISSN: 2058-6124
Titre abrégé: Spinal Cord Ser Cases
Pays: England
ID NLM: 101680856

Informations de publication

Date de publication:
22 Aug 2024
Historique:
received: 20 04 2024
accepted: 15 08 2024
revised: 12 08 2024
medline: 23 8 2024
pubmed: 23 8 2024
entrez: 22 8 2024
Statut: epublish

Résumé

Osteochondromas, also known as osteocartilaginous exostosis, are among the most common benign cartilaginous bone tumors, primarily occurring as solitary lesions. While typically found in long bones, spinal involvement is rare, accounting for only a small percentage of benign lesions in this location. Solitary osteochondromas responsible for spinal cord compression are seldom. We describe the case of a 34-year-old male with no significant medical history, presenting with progressive symptoms suggestive of spinal cord compression. Imaging studies revealed a bony lesion originating from the left lateral aspect of the posterior arch of the T8 vertebra, causing spinal cord compression and myelopathy. Surgical intervention was necessary to decompress the spinal cord and obtain histological samples, resulting in immediate postoperative improvement in motor function. Pathologic exam concluded to an osteochondroma. Osteochondromas primarily affect growing bones and are more commonly observed as solitary lesions, particularly in male patients. Spinal involvement is rare, and neurological symptoms are typically indicative of intracanalar extension of the exostosis, leading to compression of neural elements. Imaging modalities such as MRI are crucial for assessing cartilage thickness and the impact of compression on the spinal cord.

Identifiants

pubmed: 39174511
doi: 10.1038/s41394-024-00677-8
pii: 10.1038/s41394-024-00677-8
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

63

Informations de copyright

© 2024. The Author(s), under exclusive licence to International Spinal Cord Society.

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Auteurs

Ghassen Gader (G)

Department of Neurosurgery, Trauma and Burns Center, Ben Arous, Tunisia. gastghagad@yahoo.fr.

Mohamed Amine Gharbi (MA)

Department of Orthopaedics, Mongi Slim Hospital, La Marsa, Tunisia.

Mohamed Ali Kharrat (MA)

Department of Neurosurgery, Trauma and Burns Center, Ben Arous, Tunisia.

Ahmed Harbaoui (A)

Department of Neurosurgery, Military Hospital of Tunis, Tunis, Tunisia.

Ihsèn Zammel (I)

Department of Neurosurgery, Trauma and Burns Center, Ben Arous, Tunisia.

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