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[Solitary spinal osteochondroma. Case report].

P Barsa¹, V Benes, P Suchomel

¹Neurochirurgické oddelení, Neurocentrum, Krajská nemocnice Liberec. pavel.barsa@nemlib.cz

Acta Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovaca

|November 17, 2009

Summary

This study reports a rare case of spinal osteochondroma in a 75-year-old man, successfully treated with surgical resection and stabilization. The findings highlight the possibility of late-onset spinal tumors and effective management strategies.

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Area of Science:

Orthopedics
Neurosurgery
Oncology

Background:

Spinal osteochondromas are rare bone tumors typically found in adolescents.
This case presents an exceptionally rare instance of an osteochondroma in an elderly patient.

Observation:

A 75-year-old male presented with low back pain and neurogenic claudication.
Symptoms were linked to an osteochondroma originating from the L3 vertebra, extending into the spinal canal.

Findings:

The patient underwent successful marginal tumor resection and transpedicular stabilization.
Histological examination confirmed the osteochondroma diagnosis.
The patient experienced complete symptom resolution with no recurrence at 4-year follow-up.

Implications:

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Osteochondromas, though rare in adults, can occur and cause significant spinal symptoms.
Surgical intervention can be effective for symptomatic spinal osteochondromas in older individuals.
This case contributes to the limited literature on osteochondromas in the aged spine.