Symptomatic lumbar osteochondroma treated via a multidisciplinary military surgical team: case report and review of the literature
| Autor: | Chris J. Neal, Michael S. Dirks, David R. Whittaker, George N. Rymarczuk |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Osteochondroma
Adult Male medicine.medical_specialty Decompression Appendicular skeleton Bone Neoplasms Lumbar vertebrae Lumbar medicine Retroperitoneal space Humans Retroperitoneal Space Military Medicine Patient Care Team Surgical team Lumbar Vertebrae business.industry Public Health Environmental and Occupational Health General Medicine medicine.disease Low back pain Surgery medicine.anatomical_structure medicine.symptom business Low Back Pain |
| Zdroj: | Military medicine. 180(1) |
| ISSN: | 1930-613X |
| Popis: | The authors describe the case of a giant osteochondroma emanating from the L5 vertebral body and extending into the retroperitoneum of a 40-year-old man, causing low back pain. Osteochondromas are benign bony tumors that typically occur within the appendicular skeleton, although in the sporadic form, up to 4% occur in the spine. A review of the English language literature has returned 44 cases of lumbar osteochondroma, including the present example. The lesions were sporadic in 81% of cases. Mean age of presentation overall is 39.5 years, with a mean age of 18.4 years (range 8-34 years) for hereditary cases and 45.7 years (range 11-81 years) for solitary lesions. Of the instances where gender was reported, 64% were male. The most common level of origin was L4 (38%). The most common anatomic site of origin was the inferior articular process (one-third). Of those lesions treated operatively, 46% underwent simple decompression, with 22% requiring decompression and fusion. This particular lesion was resected via a transperitoneal approach performed by a multidisciplinary team of neurosurgeons, vascular surgeons, and urologists. The bony tumor measured 6.1 × 7.8 × 7.7 cm. Removal of the lesion resulted in a significant improvement of the patient's symptoms. |
| Databáze: | OpenAIRE |
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