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Clinics and Practice
Volume 5
Issue 2
10.4081/cp.2015.734
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Treatment of Costal Osteochondroma Causing Spinal Cord Compression by Costotransversectomy: Case Report and Review of the Literature

by
Marcus D. Mazur
,
Michael L. Mumert
and
Meic H. Schmidt
*
Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, UT, USA
*
Author to whom correspondence should be addressed.
Clin. Pract. 2015, 5(2), 734; https://doi.org/10.4081/cp.2015.734
Submission received: 20 November 2014 / Revised: 20 November 2014 / Accepted: 12 March 2015 / Published: 24 April 2015

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.
Keywords: costal osteochondroma; spinal cord compression; costotransversectomy; hereditary multiple exostoses costal osteochondroma; spinal cord compression; costotransversectomy; hereditary multiple exostoses

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MDPI and ACS Style

Mazur, M.D.; Mumert, M.L.; Schmidt, M.H. Treatment of Costal Osteochondroma Causing Spinal Cord Compression by Costotransversectomy: Case Report and Review of the Literature. Clin. Pract. 2015, 5, 734. https://doi.org/10.4081/cp.2015.734

AMA Style

Mazur MD, Mumert ML, Schmidt MH. Treatment of Costal Osteochondroma Causing Spinal Cord Compression by Costotransversectomy: Case Report and Review of the Literature. Clinics and Practice. 2015; 5(2):734. https://doi.org/10.4081/cp.2015.734

Chicago/Turabian Style

Mazur, Marcus D., Michael L. Mumert, and Meic H. Schmidt. 2015. "Treatment of Costal Osteochondroma Causing Spinal Cord Compression by Costotransversectomy: Case Report and Review of the Literature" Clinics and Practice 5, no. 2: 734. https://doi.org/10.4081/cp.2015.734

APA Style

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), 734. https://doi.org/10.4081/cp.2015.734

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