Asian Spine J.  2012 Mar;6(1):66-70. 10.4184/asj.2012.6.1.66.

Myelopathy and Quadriparesis due to Spinal Cord Compression of C1 Laminar Osteochondroma

• Er U
• Simsek S
• Yigitkanli K
• Adabag A
• Kars HZ

• KMID: 2270480
• DOI: http://doi.org/10.4184/asj.2012.6.1.66

Abstract

The aim of this paper is to show that osteochondromas of the cervical vertebrae can cause myelopathy and neck pain.The reported etiology, diagnosis, treatment and differential diagnosis were reviewed. Osteochondromas may present as a solitary lesion with no genetic component or as multiple lesions as a part of a genetic disorder known as hereditary multiple exostosis. Osteochondromas of the spine are rarely encountered in clinical practice. These lesions are reported more commonly with neural compression in cases associated with hereditary multiple exostosis. The authors describe a unusual clinical manifestation of a solitary osteochondroma located in the right posterior arch of the atlas. Complete removal of the tumor was performed resulting in the relief of neck pain and spastic quadriparesis. Although unusual, osteochondromas of the cervical spine must be considered in patients with persistent neck pain and progressive symptoms of myelopathy. Computed tomography and magnetic resonance imaging in conjunction with plain radiograms is the neuroradiological modality of choice. The diagnosis and surgical excision of these tumors are important because they can cause spinal stenosis resulting in neural tissue compression and myelopathy.

Keyword

Atlas; C1; Cervical vertebrae; Spinal cord diseases; Quadriparesis; Solitary osteochondroma

MeSH Terms

Cervical Vertebrae
Diagnosis, Differential
Exostoses, Multiple Hereditary
Female
Humans
Magnetic Resonance Imaging
Muscle Spasticity
Neck
Neck Pain
Osteochondroma
Quadriplegia
Spinal Cord
Spinal Cord Compression
Spinal Cord Diseases
Spinal Stenosis
Spine