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Osteochondromas of the cervical spine in atypical location

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Abstract

In the current article we review the available English literature by pubmed search engine on the topic of osteochondromas and their location in the cervical spine. The focus is to investigate the location of the lesions in cervical spine and to analyze clinical presentations and symptoms of patients, the aetiology and histopathology examination of the masses. In addition we report a rare illustrative case of a 62 year-old man with an osteochondroma of the cervical spine. The mass developed at a very slow rate for many years and produced no clinical symptoms. The location of the extradural mass in the right atlanto-axial joint of C1 and C2 is extremely rare and was not been reported so far. After preoperative CT- and MRI-imaging the entire mass could be removed.

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Acknowledgements

The authors would like to thank Michael Hanna, PhD, (Medical Manuscript Service) for proof-reading the manuscript.

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Authors and Affiliations

  1. Department of Neurosurgery, Campus Benjamin Franklin Charité, Universitätsmedizin Berlin, Hindenburgdamm 30, 12200, Berlin, Germany

    M. Schomacher, O. Suess & T. Kombos

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  1. M. Schomacher
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  2. O. Suess
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  3. T. Kombos
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Corresponding author

Correspondence to M. Schomacher.

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Comment

This is a single case review of an osteochondroma involving the C1/C2 articulation. The case presentation is well done and the literature review is complete. Interestingly, through their analysis of published case reports, the authors have recognized that osteochondromas of the cervical spine have a predilection for the C1/C2 complex which was previously unappreciated.

H. Louis Harkey

University of Mississippi, USA

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Schomacher, M., Suess, O. & Kombos, T. Osteochondromas of the cervical spine in atypical location. Acta Neurochir 151, 629–633 (2009). https://doi.org/10.1007/s00701-009-0235-3

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