Spinous Process Osteochondroma as a Rare Cause of Lumbar Pain
We present a case of a 5th Lumbar Vertebra (L5) spinous process osteochondroma as a rare cause of lumbar pain in an old patient. A 70-year-old male presented with progressive and disabling lower lumbar pain. Tenderness over the central and left paraspinal area of the lower lumbar region and a palpab...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2016/2683797 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832563072226557952 |
|---|---|
| author | Bárbara Rosa Pedro Campos André Barros Samir Karmali Esperança Ussene Carlos Durão João Alves da Silva Nuno Coutinho |
| author_facet | Bárbara Rosa Pedro Campos André Barros Samir Karmali Esperança Ussene Carlos Durão João Alves da Silva Nuno Coutinho |
| author_sort | Bárbara Rosa |
| collection | DOAJ |
| description | We present a case of a 5th Lumbar Vertebra (L5) spinous process osteochondroma as a rare cause of lumbar pain in an old patient. A 70-year-old male presented with progressive and disabling lower lumbar pain. Tenderness over the central and left paraspinal area of the lower lumbar region and a palpable mass were evident. CT scan showed a mass arising from the spinous process of L5. Marginal resection of the tumor was performed through a posterior approach. The histological study revealed an osteochondroma. After surgery, pain was completely relieved. After one year there was no evidence of local recurrence or symptoms. Osteochondromas rarely involve the spine, but when they do symptoms like pain, radiculopathy/myelopathy, or cosmetic deformity may occur. The imagiologic exam of election for diagnosis is CT scan. When symptomatic the treatment of choice is surgical resection. The most concerning complication of osteochondromas is malignant transformation, a rare event. |
| format | Article |
| id | doaj-art-23454a1f76a94e9ba3f008f3bd975cc1 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-23454a1f76a94e9ba3f008f3bd975cc12025-02-03T01:20:59ZengWileyCase Reports in Orthopedics2090-67492090-67572016-01-01201610.1155/2016/26837972683797Spinous Process Osteochondroma as a Rare Cause of Lumbar PainBárbara Rosa0Pedro Campos1André Barros2Samir Karmali3Esperança Ussene4Carlos Durão5João Alves da Silva6Nuno Coutinho7Trauma and Orthopaedics Department, Hospital Vila Franca de Xira, 2600 009 Lisbon, PortugalTrauma and Orthopaedics Department, Hospital Vila Franca de Xira, 2600 009 Lisbon, PortugalTrauma and Orthopaedics Department, Hospital Vila Franca de Xira, 2600 009 Lisbon, PortugalTrauma and Orthopaedics Department, Hospital Vila Franca de Xira, 2600 009 Lisbon, PortugalDepartment of Pathology, Hospital Vila Franca de Xira, 2600 009 Lisbon, PortugalTrauma and Orthopaedics Department, Hospital Vila Franca de Xira, 2600 009 Lisbon, PortugalTrauma and Orthopaedics Department, Hospital Vila Franca de Xira, 2600 009 Lisbon, PortugalTrauma and Orthopaedics Department, Hospital Vila Franca de Xira, 2600 009 Lisbon, PortugalWe present a case of a 5th Lumbar Vertebra (L5) spinous process osteochondroma as a rare cause of lumbar pain in an old patient. A 70-year-old male presented with progressive and disabling lower lumbar pain. Tenderness over the central and left paraspinal area of the lower lumbar region and a palpable mass were evident. CT scan showed a mass arising from the spinous process of L5. Marginal resection of the tumor was performed through a posterior approach. The histological study revealed an osteochondroma. After surgery, pain was completely relieved. After one year there was no evidence of local recurrence or symptoms. Osteochondromas rarely involve the spine, but when they do symptoms like pain, radiculopathy/myelopathy, or cosmetic deformity may occur. The imagiologic exam of election for diagnosis is CT scan. When symptomatic the treatment of choice is surgical resection. The most concerning complication of osteochondromas is malignant transformation, a rare event.http://dx.doi.org/10.1155/2016/2683797 |
| spellingShingle | Bárbara Rosa Pedro Campos André Barros Samir Karmali Esperança Ussene Carlos Durão João Alves da Silva Nuno Coutinho Spinous Process Osteochondroma as a Rare Cause of Lumbar Pain Case Reports in Orthopedics |
| title | Spinous Process Osteochondroma as a Rare Cause of Lumbar Pain |
| title_full | Spinous Process Osteochondroma as a Rare Cause of Lumbar Pain |
| title_fullStr | Spinous Process Osteochondroma as a Rare Cause of Lumbar Pain |
| title_full_unstemmed | Spinous Process Osteochondroma as a Rare Cause of Lumbar Pain |
| title_short | Spinous Process Osteochondroma as a Rare Cause of Lumbar Pain |
| title_sort | spinous process osteochondroma as a rare cause of lumbar pain |
| url | http://dx.doi.org/10.1155/2016/2683797 |
| work_keys_str_mv | AT barbararosa spinousprocessosteochondromaasararecauseoflumbarpain AT pedrocampos spinousprocessosteochondromaasararecauseoflumbarpain AT andrebarros spinousprocessosteochondromaasararecauseoflumbarpain AT samirkarmali spinousprocessosteochondromaasararecauseoflumbarpain AT esperancaussene spinousprocessosteochondromaasararecauseoflumbarpain AT carlosdurao spinousprocessosteochondromaasararecauseoflumbarpain AT joaoalvesdasilva spinousprocessosteochondromaasararecauseoflumbarpain AT nunocoutinho spinousprocessosteochondromaasararecauseoflumbarpain |