Ignacio Puyuelo Jarne1, Ana Coral Laga Cuen2, Eduardo González Buesa3, Manuel Malillos Torán4, Borja Antón Capitán5. 1. Hospital San Pedro, Logroño (La Rioja), España. nachopuyueloj@gmail.com. 2. Hospital San Pedro, Logroño (La Rioja), España. aclaga@riojasaud.es. 3. Hospital de Barbastro, Huesca (Aragón). España. edgonzalezbuesa@gmail.com. 4. Hospital San Pedro, Logroño (La Rioja), España.. mmtoran@riojsalud.es. 5. Hospital San Pedro, Logroño (La Rioja), España.. bacapitan@riojasalud.es.
Abstract
Background and objective: Osteochondroma is the most frequent benign bone tumor, it can present in solitary or multiple form. Only 1 to 4% of osteochondromas are found in the spine and the most frequent of these is located at the cervical level. Of all spinal osteochondromas, only 0.5% develop insidious and progressive symptoms of medullary compression, either in the form of myelopathy or radiculopathy. These tumors do not grow once the bone maturation is complete, so if the clinic appears, it does so mainly in young patients, between 20 and 30 years old. Methodology: young male with asymptomatic one year evolution posterior cervical tumor, that begins with cervicalgia and interscapular pain, without alarm symptoms. Surgical resection of the tumor is decided. Results: the pathological result describes the tumor as an osteochondroma. Six months after the intervention, the patient did not report cervicalgia or interscapular pain with a good state of scarring and cervical mobility. Conclusion: Regarding the management of these tumors, surgical treatment, by means of their resection, is indicated, if the patients present symptoms, with good functional results and a low number of complications. Its management in asymptomatic cases is controversial. Universidad Nacional de Córdoba.
Background and objective: Osteochondroma is the most frequent benign bone tumor, it can present in solitary or multiple form. Only 1 to 4% of osteochondromas are found in the spine and the most frequent of these is located at the cervical level. Of all spinal osteochondromas, only 0.5% develop insidious and progressive symptoms of medullary compression, either in the form of myelopathy or radiculopathy. These tumors do not grow once the bone maturation is complete, so if the clinic appears, it does so mainly in young patients, between 20 and 30 years old. Methodology: young male with asymptomatic one year evolution posterior cervical tumor, that begins with cervicalgia and interscapular pain, without alarm symptoms. Surgical resection of the tumor is decided. Results: the pathological result describes the tumor as an osteochondroma. Six months after the intervention, the patient did not report cervicalgia or interscapular pain with a good state of scarring and cervical mobility. Conclusion: Regarding the management of these tumors, surgical treatment, by means of their resection, is indicated, if the patients present symptoms, with good functional results and a low number of complications. Its management in asymptomatic cases is controversial. Universidad Nacional de Córdoba.
Entities:
Keywords:
osteochondroma; cervical vertebrae; spine; bone neoplasms
Authors: Daniel M Sciubba; Mohamed Macki; Mohamad Bydon; Niccole M Germscheid; Jean-Paul Wolinsky; Stefano Boriani; Chetan Bettegowda; Dean Chou; Alessandro Luzzati; Jeremy J Reynolds; Zsolt Szövérfi; Patti Zadnik; Laurence D Rhines; Ziya L Gokaslan; Charles G Fisher; Peter Paul Varga Journal: J Neurosurg Spine Date: 2015-03-20