Amritanand Rohit, Venkatesh Krishnan, Sundararaj Gabriel David
Spinal Disorders Surgery Unit, Department of Orthopaedics, Christian Medical College, Vellore, India.
Asian Spine J. 2012 Sep;6(3):207-10. doi: 10.4184/asj.2012.6.3.207. Epub 2012 Aug 21.
Exostosis of the rib with neural foraminal extension as a cause of spinal cord compression and scoliosis has to the best of our knowledge not been reported. We describe a young male with hereditary multiple exostosis who presented with a spastic gait, lower limb weakness and a deformity of the upper back. Radiographic imaging revealed a lesion arising from the left second rib which was encroaching the spinal canal and a scoliotic deformity of the upper thoracic spine. Through a single T shaped posterior approach he underwent a decompressive laminectomy of T1 and T2 vertebra and excision of the lesion. The diagnosis of osteochondroma was confirmed by histopathological studies. He was followed up at one year when his neurological condition had returned to normal however the scoliosis had increased.
据我们所知，肋骨外生骨疣伴神经孔扩展导致脊髓受压和脊柱侧弯的情况尚未见报道。我们描述了一名患有遗传性多发性外生骨疣的年轻男性，他表现出痉挛性步态、下肢无力和上背部畸形。影像学检查显示，左侧第二肋骨出现病变，侵犯椎管，上胸椎出现脊柱侧弯畸形。通过单一的T形后入路，他接受了T1和T2椎体的减压椎板切除术及病变切除术。组织病理学研究证实为骨软骨瘤。术后一年进行随访，此时他的神经状况已恢复正常，但脊柱侧弯有所加重。
