Puyuelo Jarne Ignacio, Laga Cuen Ana Coral, González Buesa Eduardo, Malillos Torán Manuel, Antón Capitán Borja
Hospital San Pedro, Logroño (La Rioja), España.
Hospital de Barbastro, Huesca (Aragón). España.
Rev Fac Cien Med Univ Nac Cordoba. 2022 Mar 14;79(1):69-73. doi: 10.31053/1853.0605.v79.n1.30804.
Osteochondroma is the most frequent benign bone tumor, it can present in solitary or multiple form. Only 1 to 4% of osteochondromas are found in the spine and the most frequent of these is located at the cervical level. Of all spinal osteochondromas, only 0.5% develop insidious and progressive symptoms of medullary compression, either in the form of myelopathy or radiculopathy. These tumors do not grow once the bone maturation is complete, so if the clinic appears, it does so mainly in young patients, between 20 and 30 years old.
young male with asymptomatic one year evolution posterior cervical tumor, that begins with cervicalgia and interscapular pain, without alarm symptoms. Surgical resection of the tumor is decided.
the pathological result describes the tumor as an osteochondroma. Six months after the intervention, the patient did not report cervicalgia or interscapular pain with a good state of scarring and cervical mobility.
Regarding the management of these tumors, surgical treatment, by means of their resection, is indicated, if the patients present symptoms, with good functional results and a low number of complications. Its management in asymptomatic cases is controversial.
骨软骨瘤是最常见的良性骨肿瘤，可呈单发或多发形式。仅1%至4%的骨软骨瘤发生于脊柱，其中最常见于颈椎水平。在所有脊柱骨软骨瘤中，仅有0.5%会出现隐匿性且进行性的髓腔压迫症状，表现为脊髓病或神经根病。这些肿瘤在骨骼成熟后便不再生长，因此若出现临床症状，主要见于20至30岁的年轻患者。
一名年轻男性，后颈部肿瘤无症状已发展一年，起初有颈部疼痛和肩胛间疼痛，无警示症状。决定对肿瘤进行手术切除。
病理结果显示肿瘤为骨软骨瘤。干预后六个月，患者未报告颈部疼痛或肩胛间疼痛，瘢痕状况良好，颈部活动正常。
对于这些肿瘤的治疗，若患者出现症状，通过手术切除进行治疗是合适的，功能效果良好且并发症数量少。其在无症状病例中的治疗存在争议。
