Treatment of costal osteochondroma causing spinal cord compression by costotransversectomy: case report and review of the literature

  • Marcus D. Mazur Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, UT, United States.
  • Michael L. Mumert Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, UT, United States.
  • Meic H. Schmidt | neuropub@hsc.utah.edu Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, UT, United States.

Abstract

In laminectomies for costal osteochondroma causing spinal cord compression, visualization of the extraforaminal part of the tumor is limited. The authors describe using a costotransversectomy to resolve spinal cord compression by a costal osteochondroma invading through the neural foramen. A 21-year-old woman with hereditary multiple exostoses presented with hand numbness and progressive neck and upper back pain. Plain radiographs identified a large lesion of the T2 and T3 pedicles, with encroachment on the T2-3 neural foramen causing ~50% spinal canal stenosis. Costotransversectomy was performed to resect the cartilaginous portions of the osteochondroma, debulk the mass, and decompress the spinal canal. A mass of mature bone was left, but no appreciable cartilaginous tumor. At five-year follow- up, the patient had improvement of neck pain, no new neurological deficits. a stable residual mass, and no new osteochondromas, indicating that appropriate surgical management can yield good results and no evidence of recurrence.

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Published
2015-04-24
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Issue
Section
Case Reports
Keywords:
Costal osteochondroma, spinal cord compression, costotransversectomy, hereditary multiple exostoses.
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How to Cite
Mazur, M. D., Mumert, M. L., & Schmidt, M. H. (2015). Treatment of costal osteochondroma causing spinal cord compression by costotransversectomy: case report and review of the literature. Clinics and Practice, 5(2). https://doi.org/10.4081/cp.2015.734