Cervical Myelopathy Caused by Disc Herniation at the Segment of Existing Osteochondroma in a Patient with Hereditary Multiple Exostoses.
- Author:
Ko IKUTA
1
;
Kiyoshi TARUKADO
;
Hideyuki SENBA
;
Takahiro KITAMURA
;
Norihiro KOMIYA
;
Satoshi SHIDAHARA
Author Information
- Publication Type:Case Report
- Keywords: Herniated disc; Osteochondroma; Hereditary multiple exostoses; Decompression; Regression
- MeSH: Adult; Decompression; Exostoses, Multiple Hereditary*; Humans; Intervertebral Disc Displacement; Kyphosis; Osteochondroma*; Recurrence; Spinal Cord; Spinal Cord Compression; Spinal Cord Diseases*; Spine
- From:Asian Spine Journal 2014;8(6):840-845
- CountryRepublic of Korea
- Language:English
- Abstract: Hereditary multiple exostoses (HME) is a benign hereditary disorder characterized by multiple osteochondromas. Osteochondroma appears occasionally in the spinal column as a part of HME. A 37-year-old man presented with a history of HME and cervical compressive myelopathy caused by intraspinal osteochondroma arising from the lamina of the C5 and disc herniation at the C5-6. He was treated by open-door laminoplasty at the C5 and C6 with excision of the tumor. The neurological symptoms were immediately relieved after surgery. Magnetic resonance images demonstrated a sufficient decompression of the spinal cord with a spontaneous regression of the herniated disc at one year after surgery. There was no recurrence of the tumor and no appearance of kyphosis and segmental instability of the cervical spine on postoperative imaging studies for three years after surgery. The patient could be successfully treated by laminoplasty with excision of the tumor and without removal of the herniated disc.
