%0 Journal Article
%T Treatment of costal osteochondroma causing spinal cord compression by costotransversectomy: case report and review of the literature
							| Clinics and Practice
%A Marcus D. Mazur
%A Meic H. Schmidt
%A Michael L. Mumert
%J Clinics and Practice
%D 2015
%R https://doi.org/10.4081/cp.2015.734
%X In laminectomies for costal osteochondroma causing spinal cord compression, visualization of the extraforaminal part of the tumor is limited. The authors describe using a costotransversectomy to resolve spinal cord compression by a costal osteochondroma invading through the neural foramen. A 21-year-old woman with hereditary multiple exostoses presented with hand numbness and progressive neck and upper back pain. Plain radiographs identified a large lesion of the T2 and T3 pedicles, with encroachment on the T2-3 neural foramen causing ~50% spinal canal stenosis. Costotransversectomy was performed to resect the cartilaginous portions of the osteochondroma, debulk the mass, and decompress the spinal canal. A mass of mature bone was left, but no appreciable cartilaginous tumor. At five-year follow- up, the patient had improvement of neck pain, no new neurological deficits. a stable residual mass, and no new osteochondromas, indicating that appropriate surgical management can yield good results and no evidence of recurrence
%K Costal osteochondroma
%K spinal cord compression
%K costotransversectomy
%K hereditary multiple exostoses.
%U https://www.clinicsandpractice.org/index.php/cp/article/view/734