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