5th Clinic, Department of Orthopaedic Surgery and Traumatology, Ankara Numune Research and Training Hospital, 06100, Sihhiye/Ankara, Turkey.
Arch Orthop Trauma Surg. 2010 Dec;130(12):1459-65. doi: 10.1007/s00402-010-1058-7. Epub 2010 Jan 28.
Osteochondromas are the most common benign tumour of the bone. They occur in two forms as solitary and hereditary multiple form. Osteochondromas are generally located on the metaphysis of the long bones. From 1 to 4% of osteochondromas occur in the spine. Spinal osteochondromas can cause cord and root compression and also be asymptomatic. In the diagnosis of osteochondromas, radiological methods are very important.
Because spinal osteochondroma is very rare, other benign and malign tumours should be kept in mind during differential diagnosis. In this paper, six patients with spinal osteochondral lesions were evaluated at our orthopaedic oncology department.
Between 1986 and 2009, six patients, four males, two females with an average age of 31.2 (9-65) were diagnosed with spinal osteochondroma at our clinic. Although one patient was diagnosed following another complaint, five patients were suffering from pain. In addition, four patients had swelling and one patient had neurological symptoms. Five patients were treated surgically, and the sixth one was followed conservatively.
The patients with spinal osteochondral lesions applied with mostly pain and swelling at the dorsal of the vertebrae. Because neurological symptoms are rarely seen, radiological examination is of great importance in diagnosis.
Patients suffering from spinal osteochondroma, due to the risk of secondary chondrosarcoma, must be closely evaluated both clinically and radiologically. If necessary, the patient must be treated surgically following histopathological diagnosis.
骨软骨瘤是最常见的良性骨肿瘤。它们有单发和遗传性多发两种形式。骨软骨瘤通常位于长骨的干骺端。1%至 4%的骨软骨瘤发生在脊柱。脊柱骨软骨瘤可引起脊髓和神经根受压，也可能无症状。在骨软骨瘤的诊断中，影像学方法非常重要。
由于脊柱骨软骨瘤非常罕见，在鉴别诊断时应牢记其他良性和恶性肿瘤。本文对我院骨科肿瘤科的 6 例脊柱骨软骨瘤患者进行了评估。
1986 年至 2009 年间，我院门诊诊断为脊柱骨软骨瘤的患者 6 例，男 4 例，女 2 例，平均年龄 31.2 岁（9-65 岁）。虽然有 1 例患者是因其他主诉就诊，但 5 例患者均有疼痛。此外，4 例有肿胀，1 例有神经症状。5 例患者接受了手术治疗，1 例患者接受了保守治疗。
脊柱骨软骨瘤患者主要表现为背部疼痛和肿胀。由于神经症状少见，放射学检查对诊断很重要。
患有脊柱骨软骨瘤的患者，由于存在继发软骨肉瘤的风险，必须进行密切的临床和影像学评估。如果有必要，必须在组织病理学诊断后进行手术治疗。
