Asian Spine J.  2012 Sep;6(3):207-210. 10.4184/asj.2012.6.3.207.

Left Second Rib Exostosis, Spinal Cord Compression and Left Upper Thoracic Scoliosis: A Rare Triad

• Amritanand R
• Venkatesh
• Sundararaj GD

• KMID: 2270462
• DOI: http://doi.org/10.4184/asj.2012.6.3.207

Abstract

Exostosis of the rib with neural foraminal extension as a cause of spinal cord compression and scoliosis has to the best of our knowledge not been reported. We describe a young male with hereditary multiple exostosis who presented with a spastic gait, lower limb weakness and a deformity of the upper back. Radiographic imaging revealed a lesion arising from the left second rib which was encroaching the spinal canal and a scoliotic deformity of the upper thoracic spine. Through a single T shaped posterior approach he underwent a decompressive laminectomy of T1 and T2 vertebra and excision of the lesion. The diagnosis of osteochondroma was confirmed by histopathological studies. He was followed up at one year when his neurological condition had returned to normal however the scoliosis had increased.

Keyword

Rib; Osteochondroma; Cord compression; Scoliosis; Excision

MeSH Terms

Congenital Abnormalities
Exostoses
Exostoses, Multiple Hereditary
Gait Disorders, Neurologic
Humans
Laminectomy
Lower Extremity
Male
Osteochondroma
Ribs
Scoliosis
Spinal Canal
Spinal Cord
Spinal Cord Compression
Spine