Document Detail


A Rare Presentation of Cervical Osteochondroma Arising in a Spinous Process.
MedLine Citation:
PMID:  21540771     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
ABSTRACT: Study Design: The case of a 21-year old female with a palpable neck mass is reported.Objective: To describe the rare presentation of an osteochondroma arising in the right bifid tip of the C5 spinous process presenting as a palpable neck mass. Emphasis will be placed on the pathophysiology, symptomotology, complications, imaging and surgical management.Summary of Background Data: Osteochondromas rarely occur in the cervical spine and lesions arising from the neural arch may present as a palpable neck mass.Methods: The patient's medical and imaging history and the medical literature were reviewed.Results: A 21-year old female presented with a hard palpable mass in her lower cervical spine. Review of radiography, CT, MRI and skeletal scintigraphy demonstrated an expansile bone lesion arising in the right bifid tip of the C5 spinous process with dense chondroid matrix in the distal tip of the lesion. Wide C5 laminectomy with en bloc resection of the tumor alleviated her symptoms. Biopsy revealed osteochondroma without malignant degeneration.Conclusions: Patients with cervical spine osteochondromas may present with a multitude of symptoms and complications depending on the size and location of the lesion. These may include pathologic fracture, spinal stenosis, nerve root compression, cranial nerve deficits, myelomalacia and malignant degeneration to chondrosarcoma. Advanced imaging modalities are required for characterization, diagnosis, surgical planning and management of these rare spinal lesions.
Authors:
Eve E Bonic
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-5-2
Journal Detail:
Title:  Spine     Volume:  -     ISSN:  1528-1159     ISO Abbreviation:  -     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-5-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Fellow in Diagnostic Imaging, Logan College of Chiropractic, 1851 Schoettler Road, PO Box 1065, Chesterfield, MO 63006-1065, E-mail: eve.bonic@logan.edu.
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