Spinal osteochondromas are very rare, and they present with nonspecific localized pain owing to bone involvement. Diagnosis is madebased 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 manwith solitary thoracic osteochondroma. The patient presented with complaints of pain in the legs, numbness, and inability to walk. Thediagnosis 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 findingswere detected in the 10-month follow-up
___
1. Quirini GE, Meyer JR, Herman M, Russell EJ. Osteochondroma of the thoracic spine: An unusual cause of spinal cord compression. Am Soc Neuroradiol 1996; 17: 961-4.
2. Thiart M. Lumbar osteocondroma causing spinal compression case report and review of the literature. SA Orthop J 2010; 44-7.
3. Ofluoğlu AE, Abdallah A, Gökcedağ A. Solitary osteochondroma arising from cervical spina bifida occulta. Case Rep Orthop 2013; 2013: 509745. doi: 10.1155/2013/509745. Epub 2013 Dec 8.
4. Çaylı SR, Irkkan Ç, Sökmen Ö. An unusual presentation of solitary osteochondroma of the cervical spine: Case Report. Turk Neurosurg 2001; 11: 65-8.
5. Nitin Samal G, Chavan M, Badole CM, Pisulkar G, Shashikant. Osteochondroma arising from spinous process of lumbar spine without spinal cord compression: A Rare Presentation. Int J Multidisciplinary Health Sci 2014; 1: 23-8.
6. Bess RS, Robbin MR, Bohlman HH, Thompson GH. Spinal exostoses: Analysis of twelve causes and review of the literature. Spine 2005; 30: 774-80.
7. Günay C, Atalar H, Yıldız Y, Sağlık Y. Spinal osteochondroma: A report on six patients and a review of the literature. Arch Orthop Trauma Surg 2010; 130: 1459-65.
8. Huda N, Julfiqar M, Pant A, Jameel T. Giant cervical spine osteochondroma in an adolescent female. J Clin Diagn Res 2014; 8: LD01-2.
9. Srikantha U, Bhagavaluta ID, Satyanarayana S, Somanna S, Chandramouli BA. Spinal osteochondroma: Spectrum of a rare disease. J Neurosurg Spine 2008; 8: 561-6.
10. Thakur NA, Daniels AH, Schiller J, et al. Benign tumors of the spine. J Am Acad Orthop Surg 2012; 20: 715-24.
11. Sansur CA, Pouratian N, Dumont AS, Schiff D, Shaffrey CI, Shaffrey ME. Part II: Spinal-cord neoplasms-primary tumours of the bony spine and adjacent soft tissues. Lancet Oncol 2007; 8: 137-47.
12. Öztürk C, Tezer M, Hamzaoğlu A. Solitary osteochondroma of the cervical spine causing spinal cord compression. Acta Orthop Belg 2007; 73: 133-6.
13. Gille O, Pointillart V, Vital J-M. Course of spinal solitary osteochondromas. Spine (Phili Pa 1976) 2005; 30: E13-9.