DOI QR코드

DOI QR Code

Lumbar Osteochondroma Arising from Spondylolytic L3 Lamina

  • Choi, Byung-Kwan (Department of Neurosurgery & Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Han, In-Ho (Department of Neurosurgery & Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Cho, Won-Ho (Department of Neurosurgery & Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Cha, Seung-Heon (Department of Neurosurgery & Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine)
  • Received : 2009.09.08
  • Accepted : 2010.03.29
  • Published : 2010.04.28

Abstract

Osteochondromas are common, benign tumors in the long bones, but osteochondromas are rare in the vertebrae. Most vertebral osteochondromas arise from the cervical or upper thoracic spine. However, lumbar osteochondromas have rarely been reported. In this report, a rare case of a lumbar osteochondroma arising from the spondylolytic L3 lamina in a 57-year-old woman is presented. She also had a ruptured disc and lumbar canal stenosis at L4-5-S1. The osteochondroma was completely removed and a posterior lumbar interbody fusion and instrumentation were performed. Considering the rarity of osteochondromas in the lumbar vertebrae, especially the L3 vertebra, it is possible that the pre-existing lumbar spondylolysis or spondylolisthesis was one of the factors affecting the occurrence or progression of the osteochondroma.

Keywords

References

  1. Albrecht S, Crutchfield JS, SeGall GK : On spinal osteochondromas. J Neurosurg 77 : 247-252, 1992 https://doi.org/10.3171/jns.1992.77.2.0247
  2. Bess RS, Robbin MR, Bohlman HH, Thompson GH : Spinal exostoses : analysis of twelve cases and review of the literature. Spine (Phila Pa 1976) 30 : 774-780, 2005 https://doi.org/10.1097/01.brs.0000157476.16579.a2
  3. Fiechtl JF, Masonis JL, Frick SL : Spinal osteochondroma presenting as atypical spinal curvature : a case report. Spine (Phila Pa 1976) 28 : E252-E255, 2003 https://doi.org/10.1097/00007632-200307010-00026
  4. Fiumara E, Scarabino T, Guglielmi G, Bisceglia M, D'Angelo V : Osteochondroma of the L-5 vertebra : a rare cause of sciatic pain. Case report. J Neurosurg 91 : 219-222, 1999
  5. Gaetani P, Tancioni F, Merlo P, Villani L, Spanu G, Baena RR : Spinal chondroma of the lumbar tract : case report. Surg Neurol 46 : 534-539, 1996 https://doi.org/10.1016/S0090-3019(96)00226-1
  6. Gille O, Pointillart V, Vital JM : Course of spinal solitary osteochondromas. Spine (Phila Pa 1976) 30 : E13-E19, 2005 https://doi.org/10.1097/01.brs.0000148047.31164.f1
  7. Gurkanlar D, Aciduman A, Günaydin A, Koçak H, Celik N : Solitary intraspinal lumbar vertebral osteochondroma: a case report. J Clin Neurosci 11 : 911-913, 2004 https://doi.org/10.1016/j.jocn.2004.02.013
  8. Han IH, Kuh SU : Cervical osteochondroma presenting as brownsequard syndrome in a child with hereditary multiple exostosis. J Korean Neurosurg Soc 45 : 309-311, 2009 https://doi.org/10.3340/jkns.2009.45.5.309
  9. Sakai D, Mochida J, Toh E, Nomura T : Spinal osteochondromas in middle-aged to elderly patients. Spine (Phila Pa 1976) 27 : E503- E506, 2002 https://doi.org/10.1097/00007632-200212010-00017
  10. Xu J, Xu CR, Wu H, Pan HL, Tian J : Osteochondroma in the lumbar intraspinal canal causing nerve root compression. Orthopedics 32 : 133, 2009

Cited by

  1. Hip Flexion Contracture Caused by an Intraspinal Osteochondroma of the Lumbar Spine vol.37, pp.4, 2010, https://doi.org/10.3928/01477447-20140401-64
  2. Spinous Process Osteochondroma as a Rare Cause of Lumbar Pain vol.2016, pp.None, 2016, https://doi.org/10.1155/2016/2683797
  3. Solitary Osteochondroma of the Spine—A Case Series: Review of Solitary Osteochondroma With Myelopathic Symptoms vol.8, pp.4, 2010, https://doi.org/10.1177/2192568217701096
  4. Fifth lumbar vertebrae solitary osteochondroma arising from the neural arch, a case report vol.36, pp.1, 2021, https://doi.org/10.1186/s41984-021-00127-9