Rahman Asifur, Bhandari Paawan Bahadur, Hoque Saif Ul, Ansari Ayub, Hossain A T M Mosharef
Neurosurgery Department, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.
BMJ Case Rep. 2012 Jun 28;2012:bcr1220115435. doi: 10.1136/bcr.12.2011.5435.
Solitary osteochondroma (SOC) of the spine is very rare, though OC is the commonest benign tumour of the bone. Only about 1-4% of SOCs occur in the spine. And solitary ostechondroma of spine causing cord compression is even rarer. These tumours slowly enlarge, creating insidious but progressive symptoms of myelopathy or radiculopathy or both. Clinical histories, routine radiographs, CT studies, MRI studies and histopathological studies are the adjuncts for a definitive diagnosis. Surgical intervention can lead to functional and neurologic improvement with very little chance of recurrence. The authors present a case of a C1 posterior arch intraspinal SOC with cord compression who recovered very well after surgery and was doing well without recurrence after 1 year of surgery. The authors are reporting this case with English language medical literature review as it is quite rare among the SOCs of the cervical spine.
脊柱孤立性骨软骨瘤（SOC）非常罕见，尽管骨软骨瘤是最常见的骨良性肿瘤。只有约1% - 4%的SOC发生在脊柱。而导致脊髓受压的脊柱孤立性骨软骨瘤更为罕见。这些肿瘤会缓慢增大，引发隐匿但渐进性的脊髓病或神经根病症状，或两者皆有。临床病史、常规X线片、CT检查、MRI检查和组织病理学检查是明确诊断的辅助手段。手术干预可带来功能和神经功能的改善，且复发几率极小。作者报告了一例C1后弓椎管内SOC伴脊髓受压的病例，该患者术后恢复良好，术后1年无复发且情况良好。作者通过对英文医学文献的回顾来报告此病例，因为在颈椎SOC中这相当罕见。
