Spinal osteochondromas in middle-aged to elderly patients.
METHODS
Three case reports of solitary spinal osteochondromas in middle-aged and elderly patients.


OBJECTIVE
To describe the treatment of three rare cases of spinal osteochondromas in patients significantly older than the cases previously reported in the literature.


BACKGROUND
Osteochondromas arising in the vertebral column are considered rare. The mean age of clinical appearance is said to be in the second or third decade of life.


METHODS
Clinical history, physical examinations, plain radiographs, magnetic resonance imaging, myelography, computed tomographic myelography, and histopathologic findings for each case were reviewed in conjunction with previous cases reported in the literature.


RESULTS
Total removal of the tumor was effective in causing the symptoms to disappear.


CONCLUSIONS
Spinal osteochondromas are rare and tend to appear in young adults. Three cases of spinal osteochondromas that were unusual in terms of age at clinical presentation and localization were reported, suggesting a continuous growth of the tumor beyond skeletal maturity.
Sakai
Daisuke
D
Department of Orthopaedic Surgery, Functional Reconstruction, Tokai University School of Medicine, Kanagawa, Japan.
Mochida
Joji
J
Toh
Eiren
E
Nomura
Takeshi
T
D000328:Adult; D000368:Aged; D002574:Cervical Vertebrae / Q000473:pathology / Q000601:surgery; D005260:Female; D006225:Hand / Q000294:innervation / Q000503:physiopathology; D006801:Humans; D006987:Hypesthesia / Q000209:etiology; D008159:Lumbar Vertebrae / Q000473:pathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000294:innervation / Q000503:physiopathology; D009333:Neck / Q000000981:diagnostic imaging / Q000473:pathology; D015831:Osteochondroma / Q000175:diagnosis* / Q000601:surgery; D013125:Spinal Neoplasms / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome