title: Compressive Myelopathy due to Osteochondroma of the Atlas and Review of the Literature.
abstract: We report a case of vertebral osteochondroma arising from the posterior C1 arch that presented with features of compressive myelopathy. Osteochondromas are usually found in extremities and are rarely seen in the spine. They are most commonly found in posterior elements in the spine, and intraspinal extension is uncommon. The most common presentation is incidental finding during routine imaging followed by palpation of painless swelling. Compressive myelopathy as a presentation of vertebral osteochondroma in a child is a rare entity. Surgical excision is the treatment of choice. Spinal osteochondromas should also be kept in mind as a cause of spinal cord or nerve root compression in children.
authors.affiliation: Department of Neurosurgery, Sheri-Kashmir Institute of Medical Sciences, Kashmir, India.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Sultan
authors.forename: Nayil
authors.initials: N
authors.lastname: Khursheed
authors.forename: Rumana
authors.initials: R
authors.lastname: Makhdoomi
authors.forename: Altaf
authors.initials: A
authors.lastname: Ramzan
mesh_terms: D001270:Cervical Atlas / Q000601:surgery*; D002574:Cervical Vertebrae / Q000601:surgery; D002648:Child; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D015831:Osteochondroma / Q000473:pathology*; D013117:Spinal Cord Compression / Q000601:surgery*; D014057:Tomography, X-Ray Computed