Volume 2 | Issue 2 | October 2021-March 2022 | page: 98-101 | Umesh Srikantha, Akshay Hari, Yadhu Lokanath, Ravi Gopal Varma, Nandeesh BM
Authors: Umesh Srikantha [1], Akshay Hari [1], Yadhu Lokanath [1], Ravi Gopal Varma [1], Nandeesh BM [1]
[1] Department of Neurosurgery, Aster CMI Hospital, Bangalore, Karnataka, India.
[2] Department of Neuropathology, NIMHANS, Bangalore, Karnataka, India.
Address of Correspondence
Dr. Akshay Hari,
Consultant Spine Surgeon, Aster CMI Hospital, Bangalore, Karnataka, India.
E-mail: aksayhari@gmail.com
Abstract
Among primary bone tumors, osteochondroma or osteocartilaginous exostosis is a common occurrence. However, solitary spinal osteochondromas are quite rare, seen in only in 1–4% of all reported cases. Only few symptomatic cases have been reported so far in the literature. Recurrence and malignant transformation are also known, thereby necessitating wide surgical excision as the treatment of choice. We would like to report one such a case of a solitary cervical osteochondroma presenting with myelopathy that was excised surgically using a minimally invasive tubular approach.
Keywords: Spinal, Osteochondroma, Solitary, Myelopathy, Minimally invasive, Tubular.
References
1. Gille O, Pointillart V, Vital JM. Course of spinal solitary osteochondromas. Spine (Phila Pa 1976) 2005;30:E13-9.
2. Albrecht S, Crutchfield JS, SeGall GK. On spinal osteochondromas. J Neurosurg 1992;77:247-52.
3. Orguc S, Arkun R. Primary tumors of the spine. Semin Musculoskelet Radiol 2014;18:280-99.
4. Srikantha U, Bhagavatula ID, Satyanarayana S, Somanna S, Chandramouli BA. Spinal osteochondroma: Spectrum of a rare disease: Report of 3 cases. J Neurosurg Spine 2008;8:561-6.
5. Bess RS, Robbin MR, Bohlman HH, Thompson GH. Spinal exostoses: Analysis of twelve cases and review of the literature. Spine (Phila Pa 1976) 2005;30:774-80.
6. Gürkanlar D, Aciduman A, Günaydin A, Koçak H, Celik N. Solitary intraspinal lumbar vertebral osteochondroma: A case report. J Clin Neurosci 2004;11:911-3.
7. Sharma MC, Arora R, Deol PS, Mahapatra AK, Mehta VS, Sarkar C. Osteochondroma of the spine: An enigmatic tumor of the spinal cord. A series of 10 cases. J Neurosurg Sci 2002;46:66-70; discussion 70.
8. Ratliff J, Voorhies R. Osteochondroma of the C5 lamina with cord compression: Case report and review of the literature. Spine (Phila Pa 1976) 2000;25:1293-5.
9. Anantharamaiah H, Kalyani R, Kumar ML, Manohar PV. Secondary chondrosarcoma of the lumbosacral region: Are any bones spared in the multiple hereditary exostoses? J Clin Diagn Res 2012;6:1778-80.
10. Ruivo C, Hopper MA. Spinal chondrosarcoma arising from a solitary lumbar osteochondroma. JBR-BTR 2014;97:21-4.
11. Strovski E, Ali R, Graeb DA, Munk PL, Chang SD. Malignant degeneration of a lumbar osteochondroma into a chondrosarcoma which mimicked a large retropertioneal mass. Skeletal Radiol 2012;41:1319-22.
12. Chow WA. Update on chondrosarcomas. Curr Opin Oncol 2007;19:371-6.
13. Yukawa Y, Kato F, Sugiura H. Solitary osteochondroma of the lower cervical spine. Orthopedics 2001;24:292-3.
14. Celli P, Trillò G, Ferrante L. Spinal extradural schwannoma. J Neurosurg Spine 2005;2:447-56.
15. Lu DC, Chou D, Mummaneni PV. A comparison of mini-open and open approaches for resection of thoracolumbar intradural spinal tumors. J Neurosurg Spine 2011;14:758-64.
16. Lu DC, Dhall SS, Mummaneni PV. Mini-open removal of extradural foraminal tumors of the lumbar spine. J Neurosurg Spine 2009;10:46-50.
17. Ozawa H, Kokubun S, Aizawa T, Hoshikawa T, Kawahara C. Spinal dumbbell tumors: An analysis of a series of 118 cases. J Neurosurg Spine 2007;7:587-93.
18. Seppälä MT, Haltia MJ, Sankila RJ, Jääskeläinen JE, Heiskanen O. Long-term outcome after removal of spinal schwannoma: A clinicopathological study of 187 cases. J Neurosurg 1995;83:621-6.
19. Sridhar K, Ramamurthi R, Vasudevan MC, Ramamurthi B. Giant invasive spinal schwannomas: Definition and surgical management. J Neurosurg Spine 2001;94:210-5.
| How to Cite this Article: Srikantha U, Hari A, Lokanath Y, Varma RG, Nandeesh BM | Rare Case of a Solitary Spinal Osteochondroma with Myelopathy Treated by a Minimally Invasive Technique | Back Bone: The Spine Journal | October 2021-March 2022; 2(2): 98-101. |
.
