José Alcaraz Mexía M, Izquierdo Núñez E, Santonja Garriga C, María Salgado Salinas R
Servicio de Radiologia, Hospital Universitario de Getafe, Madrid, Spain.
Spine (Phila Pa 1976). 2001 May 1;26(9):1082-5. doi: 10.1097/00007632-200105010-00019.
The case of a 16-year-old patient with an osteochondroma in T11 and scoliosis is reported.
To describe the treatment of an osteochondroma with scoliotic deformity and the imaging methods used for the diagnosis.
Osteochondromas arising in the vertebral column are rare. However, spinal involvement is found with some regularity because osteochondromas are among the most common benign tumors of bone.
The clinical history, plain radiographs, computed tomography, and magnetic resonance imaging, and pathologic findings of the reported patient were reviewed. The medical literature also was reviewed.
The patient was treated with surgery in an attempt to remove the tumor and correct the aesthetic deformity. The results were satisfactory, with an improvement of the thoracolumbar scoliosis from 45 degrees to 18 degrees.
Osteochondromas of the vertebral column may cause scoliosis. Computed tomography and magnetic resonance imaging are necessary for evaluating the origin, size, and characteristics of the tumor. In this case, surgical management involved resection of the tumor and correction of the scoliotic deformity.
报告一例16岁T11椎体骨软骨瘤合并脊柱侧弯患者的病例。
描述骨软骨瘤合并脊柱侧弯畸形的治疗方法及用于诊断的影像学方法。
脊柱骨软骨瘤罕见。然而，由于骨软骨瘤是最常见的骨良性肿瘤之一，脊柱受累有一定的规律性。
回顾所报告患者的临床病史、X线平片、计算机断层扫描、磁共振成像及病理检查结果。同时也回顾了医学文献。
患者接受手术治疗，试图切除肿瘤并纠正美观畸形。结果令人满意，胸腰段脊柱侧弯从45度改善至18度。
脊柱骨软骨瘤可能导致脊柱侧弯。计算机断层扫描和磁共振成像对于评估肿瘤的起源、大小及特征是必要的。在此病例中，手术治疗包括切除肿瘤及纠正脊柱侧弯畸形。
