Cervical Osteochondroma and Myelopathy in Children: A Case Report and Literature Review

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Published: Dec 26, 2024
DOI: https://doi.org/10.15417/issn.1852-7434.2024.89.6.1979
Keywords:
Osteochondroma, spine, hereditary multiple exostoses, myelopathy, children

Main Article Content

Santiago Aguer
Spinal Pathology Department, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
https://orcid.org/0000-0001-9079-1966
Javier Dal Lago
Spinal Pathology Department, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
https://orcid.org/0000-0002-0868-5505
Matías Leonardo Cullari
Spinal Pathology Department, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
https://orcid.org/0000-0002-6058-6686
Facundo Aguirre
Spinal Pathology Department, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
https://orcid.org/0009-0008-7148-9575
Eduardo Levy
Spinal Pathology Department, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
https://orcid.org/0000-0002-9158-8617
Ruy Lloyd
Spinal Pathology Department, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
https://orcid.org/0000-0003-3897-3628

Abstract

Osteochondroma is the most common benign skeletal tumor, with the cervical spine being the most frequent site for spinal osteochondromas. Spinal exostoses typically arise from the lamina of cervical vertebrae. Although rare, cervical myelopathy can occur and may lead to significant neurological consequences. Surgical intervention is often considered for asymptomatic lesions to prevent potential neurological deterioration. We report the case of an 11-year-old patient with an incidentally discovered cervical osteochondroma originating from the left lamina of C4, causing spinal cord compression. Magnetic resonance imaging (MRI) of the cervical spine revealed a lesion protruding into the canal, leading to a reduction in canal diameter. The patient underwent surgical resection of the C4 posterior arch with decompression, performed without fusion. At two years post-surgery, no local recurrence or neurological symptoms were observed.

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How to Cite
Aguer, S., Dal Lago, J., Cullari, M. L., Aguirre, F., Levy, E., & Lloyd, R. (2024). Cervical Osteochondroma and Myelopathy in Children: A Case Report and Literature Review. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 89(6), 651-656. https://doi.org/10.15417/issn.1852-7434.2024.89.6.1979
Issue
Vol 89 No 6 (2024)
Section
Case Presentations
Copyright (c) 2024 Revista de la Asociación Argentina de Ortopedia y Traumatología

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Author Biographies

Santiago Aguer, Spinal Pathology Department, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Spinal Pathology Department, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Javier Dal Lago, Spinal Pathology Department, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Spinal Pathology Department, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Matías Leonardo Cullari, Spinal Pathology Department, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Spinal Pathology Department, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Facundo Aguirre, Spinal Pathology Department, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Spinal Pathology Department, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Eduardo Levy, Spinal Pathology Department, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Spinal Pathology Department, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Ruy Lloyd, Spinal Pathology Department, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Spinal Pathology Department, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

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