Choi Byung Kwan, Han In Ho, Cho Won Ho, Cha Seung Heon
Department of Neurosurgery & Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.
J Korean Neurosurg Soc. 2010 Apr;47(4):313-5. doi: 10.3340/jkns.2010.47.4.313. Epub 2010 Apr 30.
Osteochondromas are common, benign tumors in the long bones, but osteochondromas are rare in the vertebrae. Most vertebral osteochondromas arise from the cervical or upper thoracic spine. However, lumbar osteochondromas have rarely been reported. In this report, a rare case of a lumbar osteochondroma arising from the spondylolytic L3 lamina in a 57-year-old woman is presented. She also had a ruptured disc and lumbar canal stenosis at L4-5-S1. The osteochondroma was completely removed and a posterior lumbar interbody fusion and instrumentation were performed. Considering the rarity of osteochondromas in the lumbar vertebrae, especially the L3 vertebra, it is possible that the pre-existing lumbar spondylolysis or spondylolisthesis was one of the factors affecting the occurrence or progression of the osteochondroma.
骨软骨瘤是长骨中常见的良性肿瘤,但在脊椎中较为罕见。大多数椎体骨软骨瘤起源于颈椎或上胸椎。然而,腰椎骨软骨瘤鲜有报道。在本报告中,呈现了一例罕见的57岁女性腰椎骨软骨瘤病例,该骨软骨瘤起源于L3峡部裂椎板。她还存在L4 - 5 - S1椎间盘破裂和腰椎管狭窄。骨软骨瘤被完全切除,并进行了后路腰椎椎间融合术及内固定术。鉴于腰椎尤其是L3椎体骨软骨瘤的罕见性,先前存在的腰椎峡部裂或椎体滑脱可能是影响骨软骨瘤发生或进展的因素之一。