Sakai Y, Nakashima H, Takatsu T, Imagama S
Department of Orthopaedic Surgery, Ichinomiya Orthopaedic Clinic, Ichinomiya, Japan.
Department of Orthopaedic Surgery, Gifu Prefectural Tajimi Hospital, Tajimi, Japan.
Malays Orthop J. 2023 Mar;17(1):117-123. doi: 10.5704/MOJ.2303.014.
Spinal osteochondroma is rare. The purpose of this study is to examine the clinical characteristics and surgical treatment outcomes of 11 patients with spinal osteochondroma.
The study included 11 patients with spinal osteochondroma. In these patients, we examined the onset level, onset site, initial symptoms, surgical procedure, outcomes and complications.
Of the 11 patients, 9 presented with solitary tumours, and 2 had multiple. The mean post-operative observation period was six years and two months. The onset level was the cervical spine in eight patients, thoracic in two, and lumbar in one. The most common onset site was the posterior elements. The initial presentation was myelopathy in seven patients, radiculopathy in two, neck pain in one and feeling of mass in one. All patients underwent excision of the tumour, and depending on the tumour onset site, additional posterior or anterior decompression with or without fusion was performed. There was no recurrence in all patients. Intra-operative complications included dura tear and oesophageal injury in one patient with cervical onset, while post-operative complications included C5 palsy in one patient.
In this study, surgical excision for osteochondroma of the spine were excellent with no recurrence of the tumour.
脊柱骨软骨瘤较为罕见。本研究旨在探讨11例脊柱骨软骨瘤患者的临床特征及手术治疗效果。
本研究纳入11例脊柱骨软骨瘤患者。我们对这些患者的发病节段、发病部位、初始症状、手术方式、治疗效果及并发症进行了检查。
11例患者中，9例为单发肿瘤，2例为多发。术后平均观察期为6年零2个月。发病节段为颈椎8例，胸椎2例，腰椎1例。最常见的发病部位是后部结构。初始表现为脊髓病7例，神经根病2例，颈部疼痛1例，肿物感1例。所有患者均接受了肿瘤切除术，并根据肿瘤发病部位，进行了额外的后路或前路减压，伴或不伴融合术。所有患者均无复发。术中并发症包括1例颈椎发病患者出现硬脊膜撕裂和食管损伤，术后并发症包括1例患者出现C5麻痹。
在本研究中，脊柱骨软骨瘤的手术切除效果良好，肿瘤无复发。
