%0 Case Reports %T Medullary Compression by a Cervical Osteochondroma in a Patient with Multiple Hereditary Exostoses: A Case Report. %A Lixa J %A Pinho A %A Vieira P %A Vieira da Silva N %A Silva MR %A Marques A %A Veludo V %J JBJS Case Connect %V 14 %N 1 %D 2024 Jan 1 %M 38207085 暂无%R 10.2106/JBJS.CC.23.00429 %X METHODS: A 19-year-old man with Multiple Hereditary Exostoses presented with cervical pain without neurological symptoms and/or signs. Magnetic resonance revealed a large C2 osteochondroma, occupying a part of the medullary canal. He was submitted to an en bloc resection with hemilaminectomy without fusion. At the 1-year follow-up, he presented resolution of pain and no neurological symptoms or signs, without cervical instability or radiological signs of disease recurrence.
CONCLUSIONS: Cervical osteochondroma is usually asymptomatic. Neurological compression and differentiation to chondrosarcoma are the main concerns. Surgical excision allows the local cure of the disease and is usually performed without fusion.