伴有脊髓受压的孤立性小儿脊柱骨软骨瘤
Solitary Pediatric Osteochondroma of the Spine With Cord Compression.
作者信息
Mamdouhi Tania, Unadkat Prashin, Edelman Morris C, Johnson Alan A, Fein Levy Carolyn, Mittler Mark A
机构信息
Pediatric Spine Surgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, USA.
Pediatric Neurosurgery, Cohen Children's Medical Center, New Hyde Park, USA.
出版信息
Cureus. 2022 Mar 20;14(3):e23342. doi: 10.7759/cureus.23342. eCollection 2022 Mar.
Osteochondromas typically arise in the appendicular skeleton, with axial lesions occurring less commonly. Osteochondroma of the spine resulting in cord compression and symptomatic myelopathy is relatively rare. Most cases are reported in adolescents and adults. Consequently, there is a scarcity of literature regarding its occurrence in the pediatric population. We report the case of a cervical osteochondroma of C4-6 with cord compression in a nine-year-old girl. Surgical excision with laminectomy and laminotomy successfully resolved all neurologic deficits. A literature review revealed 27 cases of pediatric osteochondromas with cord compression, suggesting that these lesions are not as rare in the pediatric population as previously thought.
骨软骨瘤通常发生于四肢骨骼，发生于中轴骨骼的情况较少见。脊柱骨软骨瘤导致脊髓受压和症状性脊髓病相对罕见。大多数病例报道于青少年和成年人。因此，关于其在儿科人群中的发生情况的文献较少。我们报告一例9岁女孩C4 - 6颈椎骨软骨瘤伴脊髓受压的病例。通过椎板切除术和椎板切开术进行手术切除成功解决了所有神经功能缺损。文献回顾显示有27例儿科骨软骨瘤伴脊髓受压病例，提示这些病变在儿科人群中并不像之前认为的那么罕见。
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