Kahveci Ramazan, Ergungor Mehmet Fikret, Gunaydin Ahmet, Sanli Ahmet Metin, Temiz Atiye
M.H. Diskapi Yildirim Beyazit Education and Research Hospital, Clinic of First Neurosurgery, Ankara, Turkey.
Turk Neurosurg. 2012;22(3):386-8. doi: 10.5137/1019-5149.JTN.3645-10.0.
Although osteochondroma is the most common benign bone tumor, the lumbar spine is anuncommon localization for solitary osteochondroma. Solitary lumbar osteochondromas rarely affect the neurological structures, because most of the lesions grow out of the spinal canal. We report a 48-year-old patient suffering from right foot-drop due to acute compression of right L4 nerve root by a lesion expanding into the spinal canal, originating from the right inferior articular facet of the third lumbar vertebrae. The symptoms improved after surgical removal of the lesion and histopathological examination of the lesion confirmed the diagnosis of osteochondroma. To the best of our knowledge, this is a unique case report in the literature.
虽然骨软骨瘤是最常见的良性骨肿瘤，但腰椎是孤立性骨软骨瘤的罕见发病部位。孤立性腰椎骨软骨瘤很少影响神经结构，因为大多数病变生长于椎管外。我们报告一例48岁患者，因起源于第三腰椎右侧下关节突并向椎管内扩展的病变急性压迫右侧L4神经根，导致右足下垂。手术切除病变后症状改善，病变的组织病理学检查确诊为骨软骨瘤。据我们所知，这是文献中独一无二的病例报告。
