Abstract
Osteoma is a common benign tumor. It occurs dominantly at the skull bone. Outside skull osteoma is rare, and primary intra-canal osteoma is extremely rare. To the author’s knowledge, only 14 cases of osteomas of the spine had been reported, in which only seven cases were in English literature. The authors reported two rare cases of intra-canal osteoma of the upper cervical spine with cord compression. Included are pertinent history, physical examination, rontgenographic evaluation before and after operation, surgical interventions, pathological study, and outcome. The available literature is also reviewed. On systemic examination and rontgenographic study, these two cases were found to have bone tumor in the upper cervical canal. Surgical interventions were performed, one with an en bloc excision, the other with a subtotal excision. The pathological study demonstrated a diagnosis of osteoma. After a follow-up with 20 and 15 months, the clinical symptoms of both cases significantly improved.
Reference
Campanacci M (1990) Osteoma. In: Bone and soft tissue tumors. Springer, Berlin Heidelberg New York, pp 349–354
Fechner RE, Mills SE (1993) Tumors of the bones and joints. In: Rosai J, Sobin LH (eds) Atlas of tumor pathology, Armed Forces Institute of Pathology, Maryland, pp 26–28
Fritz Schajowicz (1994) Bone-forming tumors. In: Tumors and tumor like lesions of bone, pathology, radiology, and treatment, 2nd edn. Springer, Berlin Heidelberg New York, p 29
Lantsman IuV (1986) Spine osteomas. Vopr Onkol 32:24–28
Laus M, Alfonso C, Laguardia AM, Giunti A (1993) Anterior surgery of the upper part of the cervical spine by prevascular extraoral approach. Chir Organi Mov 78:65–75
Laus M, Pignatti G, Malaguti MC, Alfonso C, Zappoli FA, Giunti A (1996) Anterior extraoral surgery to the upper cervical spine. Spine 21:1687–1693
Mirra JM (1989) Osteoma. In: Bone tumors: clinical, radiologic and pathologic correlations. Lea and Febiger, Philadelphia, pp 174–182
Pecker J, Vallee B, Desplat A, Guegan Y (1980) Lateral interscalenic approach for tumors of the cervical intervertebral foramina. Neurochirurgie 26:165–170
Peyser AB, Makley JT, Callewart CC, Brackett B, Carter JR, Abdul-Karim FW (1996) Osteoma of the long bones and the spine. A study of eleven patients and a review of the literature. J Bone Joint Surg (Am) 78:1172–1180
Cotran RS, Kumar V, Collins T (1999) Robbins pathologic basis of disease, 6 edn. WB Saunders, Philadelphia, pp 1235–1236
Rengachary SS, Sanan A (1998) Ivory osteoma of the cervical spine: case report. Neurosurgery 42:182–185
Resnick D, Niwayama G (1988) Osteoma. In: Diagnosis of bone and joint disorders. WB Saunders, Philadelphia, pp 4081–4084
Schajowicz F (1981) Osteoma. In: Tumors and tumorlike lesions of bone and joints. Springer, Berlin Heidelberg New York, pp 25–34
Wang W, Kong L, Zhao H, Jia Z (2004) Ossification of the transverse atlantal ligament associated with fluorosis. A report of two cases and review of the literature. Spine 29:E75–E78
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Wang, W., Kong, L., Dong, R. et al. Osteoma in the upper cervical spine with spinal cord compression. Eur Spine J 15 (Suppl 5), 616–620 (2006). https://doi.org/10.1007/s00586-006-0107-y
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00586-006-0107-y