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Acta Orthop Traumatol Turc ; 55(1): 76-79, 2021 Jan.
Article in English | MEDLINE | ID: mdl-33650517

ABSTRACT

Spinal osteochondromas are very rare, and they present with nonspecific localized pain owing to bone involvement. Diagnosis is made based on direct X-ray and computed tomography (CT) imaging of the exophytic bone lesion with pedunculated or sessile structure. Although asymptomatic patients can be observed, surgical excision is the main treatment modality. We present the case of a 34-year-old man with solitary thoracic osteochondroma. The patient presented with complaints of pain in the legs, numbness, and inability to walk. The diagnosis was confirmed with CT imaging showing calcified heterogeneous bone lesion originating from the left side of T1-2 facet joint. After total excision, histopathological examination revealed the diagnosis of osteochondroma. No new clinical or radiological findings were detected in the 10-month follow-up.


Subject(s)
Orthopedic Procedures/methods , Osteochondroma , Spinal Cord Compression , Spinal Neoplasms , Thoracic Vertebrae , Adult , Dissection/methods , Humans , Magnetic Resonance Imaging/methods , Male , Osteochondroma/complications , Osteochondroma/pathology , Spinal Cord Compression/diagnosis , Spinal Cord Compression/etiology , Spinal Cord Compression/physiopathology , Spinal Neoplasms/complications , Spinal Neoplasms/pathology , Thoracic Vertebrae/diagnostic imaging , Thoracic Vertebrae/pathology , Tomography, X-Ray Computed/methods , Treatment Outcome
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