A Case of Thoracic Vertebral Chondroblastoma, Treated with 3-D Image Guided Resection and Reconstruction

  • Lee, Yoon-Ho (Department of Neurosurgery, Yonsei University College of Medicine) ;
  • Shin, Dong-Ah (Department of Neurosurgery, Yonsei University College of Medicine) ;
  • Kim, Keung-Nyun (Department of Neurosurgery, Yonsei University College of Medicine) ;
  • Yoon, Do-Heum (Department of Neurosurgery, Yonsei University College of Medicine)
  • Published : 2005.02.28

Abstract

We present a case of chondroblastoma in the thoracic vertebra. A 40-year-old patient with upper back pain and lower extremity weakness was admitted to our clinic. On neurological examination, the patient exhibited lower extremity spastic paraparesis. Magnetic resonance imaging revealed a mass infiltrating the 7th thoracic vertebra and its adjacent structures with concomitant compression of the epidural space. After right upper lung tuberculoma was resected through the transthoracic approach, T7 total corpectomy was done with anterior stabilization using a MESH cage and T7 rib bone graft. Two weeks after the first operation, remained part of vertebra was removed and posterior stabilization was performed using a pedicle screw fixation and cross linkage bar with the assistance of the navigation system. The final pathologic diagnosis of the vertebral lesion was benign chondroblastoma.

Keywords

References

  1. Attar A, Ugur HC, Caglar YS, Erdogan A, Ozdemir N : Chondroblastoma of the thoracic vertebra. J Clin Neurosci 8 : 59-60, 2001
  2. Ewing J : The classification and treatment of bone sarcoma. Report of the international Conference on Cancer. Bristol J Write 12 : 365- 376, 1928
  3. Jee WH, Park YK, McCauley TR, Choi KH : Chondroblastoma : MR characteristics with pathologic correlation. J Comput Assist Tomogr 23 : 721-726, 1999 https://doi.org/10.1097/00004728-199909000-00016
  4. Kim JY, Cho KH, Kim SH, Ahn YH, Ahn YM, Yoon SH, et al : Solitary Osteochondroma of the Thoracic Spine Presenting as Spinal Cord Compression : A case report. J Korean Neurosurg Soc 27 : 1304-1309, 1998
  5. Kurth AA, Warzecha J, Rittmeister M, Schmitt E, Hovy L : Recurrent chondroblastoma of the upper thoracic spine : A case report and review of the literature. Arch Orthop Trauma Surg 120 : 544-547, 2000 https://doi.org/10.1007/s004029900125
  6. Leung LY, Shu SJ, Chan MK, Chan CH : Chondroblastoma of the lumbar vertebra. Skeletal Radiol 30 : 710-713, 2001 https://doi.org/10.1007/s002560100432
  7. Mizuno J, Nakagawa H, Watabe T : Combined anterior and posterior instrumentation in severe fracture-dislocation of the lower cervical spine with help of navigation : A case report. J Clin Neurosci 9 : 446-450, 2001
  8. Schlenzka D, Laine T, Lund T : Computer-assisted spine surgery. Eur Spine J 9 : S57-S64, 2000 https://doi.org/10.1007/PL00010023
  9. Springfield DS, Capanna R, Gherlinzoni F, Picci P, Campanacci M : Chondroblastoma : A review of seventy cases. J Bone Joint Surg 67 : 748-755, 1985 https://doi.org/10.2106/00004623-198567050-00009