Department of Neurosurgery, Ankara City Hospital, Ankara, Turkey.
Department of Neurosurgery, Yıldırım Beyazıt University, School of Medicine, Ankara, Turkey.
Acta Orthop Traumatol Turc. 2021 Jan;55(1):76-79. doi: 10.5152/j.aott.2021.19228.
Spinal osteochondromas are very rare, and they present with nonspecific localized pain owing to bone involvement. Diagnosis is made based on direct X-ray and computed tomography (CT) imaging of the exophytic bone lesion with pedunculated or sessile structure. Although asymptomatic patients can be observed, surgical excision is the main treatment modality. We present the case of a 34-year-old man with solitary thoracic osteochondroma. The patient presented with complaints of pain in the legs, numbness, and inability to walk. The diagnosis was confirmed with CT imaging showing calcified heterogeneous bone lesion originating from the left side of T1-2 facet joint. After total excision, histopathological examination revealed the diagnosis of osteochondroma. No new clinical or radiological findings were detected in the 10-month follow-up.
脊柱骨软骨瘤非常罕见，由于骨受累，它们表现为非特异性局部疼痛。诊断基于外生骨病变的直接 X 射线和计算机断层扫描 (CT) 成像，具有带蒂或无蒂结构。虽然无症状的患者可以观察，但手术切除是主要的治疗方式。我们报告了一例 34 岁男性的单发胸段骨软骨瘤病例。患者表现为腿部疼痛、麻木和无法行走。CT 成像显示起源于 T1-2 关节突关节左侧的钙化性异质性骨病变，确诊为骨软骨瘤。在 10 个月的随访中，未发现新的临床或影像学发现。
