Spinal osteoblastoma complicated with epidural hematoma: two case reports.
METHODS
Case report.


OBJECTIVE
To describe 2 patients of spinal osteoblastoma in upper thoracic lamina, complicated with epidural hematoma and symptoms of cord compression.


BACKGROUND
Review the clinical presentation, radiologic findings, and treatment in these 2 cases, with an emphasis on surgical management and outcomes.


METHODS
Two patients initially presented with symptoms of incomplete neurological deficit after mild injury. Computer tomography scan indicated osteolytic destruction of thoracic lamina; magnetic resonance imaging illustrated that lesion in the posterior element of thoracic spine with epidural hematoma and sign of spinal cord compression. Marginal surgical resection and hematoma evacuation were performed.


RESULTS
Histologic diagnosis indicated destructive osteoblastomas with hemorrhage. Complete neurologic recovery was achieved at 1 week and 3 months after surgery. Both patients had no evidence of tumor recurrence at an average follow-up of 37 months.


CONCLUSIONS
By using surgical resection and hematoma evacuation, good outcome could be achieved for spinal osteoblastoma complicated with epidural hematoma.
Qian
Bang-Ping
BP
Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, People's Republic of China.
Qiu
Yong
Y
Zhu
Zezhang
Z
Chen
Hui
H
D000293:Adolescent; D000328:Adult; D019299:Decompression, Surgical; D004824:Epidural Space / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D046748:Hematoma, Epidural, Spinal / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008297:Male; D018215:Osteoblastoma / Q000150:complications / Q000473:pathology* / Q000601:surgery; D010014:Osteolysis / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology; D020335:Paraparesis / Q000209:etiology / Q000473:pathology / Q000601:surgery; D013115:Spinal Canal / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D013117:Spinal Cord Compression / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D013125:Spinal Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome