Barsa P, Benes V, Suchomel P
Neurochirurgické oddelení, Neurocentrum, Krajská nemocnice Liberec.
Acta Chir Orthop Traumatol Cech. 2009 Oct;76(5):424-7.
Spinal osteochondromas as solitary lesions are rare tumours of a maturing adolescent skeleton. The authors treated a 75-year-old man for low back pain and neurogenic claudication. Symptoms were attributed to a tumorous expansion originating from the spinous process and right lamina of L3 and expanding into the spinal canal and adjacent facet joints. The patient underwent marginal resection of the tumour together with transpedicular stabilization of the segment, and histological examination confirmed the diagnosis of osteochondroma. The patient remains without any complaint and there are no signs of local recurrence of the tumour 4 years after the surgery. The cases of osteochondroma in an aged spine published in the literature and pertinent aspects of this extremely rare condition are discussed. Key words: spinal tumors, osteochondroma.
脊柱骨软骨瘤作为孤立性病变是青少年成熟骨骼中罕见的肿瘤。作者治疗了一名75岁因腰痛和神经源性间歇性跛行的男性患者。症状归因于起源于L3棘突和右侧椎板的肿瘤性扩张,并扩展至椎管和相邻小关节。患者接受了肿瘤边缘切除术及该节段的经椎弓根内固定术,组织学检查确诊为骨软骨瘤。术后4年,患者无任何不适,也无肿瘤局部复发迹象。本文讨论了文献中报道的老年脊柱骨软骨瘤病例以及这种极其罕见疾病的相关方面。关键词:脊柱肿瘤;骨软骨瘤