Abstract
Multiple hereditary osteochondromatosis is a genetically transmitted disorder consisting of multiple projections of bone capped by cartilage, which are called exosloses. Spinal cord compression due to expansion of a laminar osteochondroma is rare but well recognized. Surgical decompression usually improves the patient's neurological status but, in cervical exostosis, postlaminectomy kyphosis and instability problems, especially in the high-risk adolescent group, form the most significant potential difficulties in the postoperative period. We report a case of cervical laminar exostosis that was treated by anterior stabilization and fusion and discuss the benefits of this technique.
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References
Albrecht S, Crutchfield JS, Segall GK (1992) On spinal osteochondromas. J Neurosurg 77:247–252
Bell MS (1971) Benign cartilaginous tumors of the spine. A report of one case together with a review of the literature. Br J Surg 58:707–711
Bhojraj SY, Panjwani JS (1993) A new management approach to decompression, posterior stabilization, and fusion for cervical laminar exostosis with cord compression in a case of diaphyseal aclasis. Spine 18:1376–1379
Dahlin DC, Unni KK (1986) Bone tumors: general aspects and data on 8542 cases, 4th edn. Thomas, Springfield, Illinois, pp 19–22; 228–229
Emanuelson I, Kyllerman M, Roos A (1994) Hereditary multiple exostosis with spinal cord compression in a 13-year-old boy (letter). J Neurol Neurosurg Psychiatry 57:238–239
Ertekin A, Erdem A, Yüceer N (1996) Osteochondroma of the upper cervical spine: a case report. Spine 21:516–518
Garrison RC, Unni KK, Mc Leod RA, Pritchard DJ, Dahlin DC (1982) Chondrosarcoma arising in osteochondroma. Cancer 49:1890
Gottlieb A, Severi P, Ruelle A, Lasio G (1986) Exostosis as a cause of spinal cord compression. Surg Neurol 26:581–584
Hudson TM, Springfield DS, Spanier SS, Enneking WF, Hamlin DJ (1984) Benign exostosis and exostotic chondrosarcomas: evaluation of cartilage thickness by CT. Radiology 152:595–599
Mirra JM, Picci P, Gold RH (1989) Bone tumors. Clinical, radiological, and pathologic correlations. Lea and Febiger, Philadelphia, pp 1626–1659
Morard M, Preux J (1992) Solitary osteochondroma presenting as a neck mass with spinal cord compression syndrome. Surg Neurol 37:402–405
Pazzaglia UE, Pedrotti L, Beluffi G (1990) Radiographic findings in hereditary multiple exostosis and a new theory of the pathogenesis of exostosis. Pediatr Radiol 20:594–597
Pecker J, Vallée B, Desplat A (1980) L'abord interscalénique des tumeurs des trous de conjugaison cervicaux. Neurochirurgie 26:165–170
Peterson HA (1989) Multiple hereditary osteochondromata. Clin Orthop 239:22–30
Resnick D (1981) Additional congenital or heritable anomalies and syndromes. In: Diagnosis of bone and joint disorders, with emphasis on articular abnormalities. Saunders, Philadelphia, pp 2548–2636
Schajowicz F (1981) Tumors and tumor-like lesions of bone and joints. Springer, New York, pp 121–133
Yablon JS (1990) Osteochondroma of the vertebral column (letter). Neurosurgery 27:659–660
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Ergün, R., Ökten, A.İ., Beşkonakli, E. et al. Cervical laminar exostosis in multiple hereditary osteochondromatosis: Anterior stabilization and fusion technique for preventing instability. Eur Spine J 6, 267–269 (1997). https://doi.org/10.1007/BF01322449
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DOI: https://doi.org/10.1007/BF01322449