• Spine · Oct 1999

    Case Reports

    Solitary exostosis of the thoracic spine. Early diagnosis and treatment.

    • M Javadpour, D G Hughes, and C G West.
    • Department of Neurosurgery, Hope Hospital, Salford, United Kingdom.
    • Spine. 1999 Oct 15;24(20):2109-10.

    Study DesignA case report.ObjectiveTo highlight the importance of early diagnosis and treatment of vertebral exostosis.Summary Of Background DataFew cases of spinal cord compression caused by solitary thoracic exostoses have been reported.MethodA solitary exostosis in the midline of the neural arch of the fifth thoracic vertebra, causing compression of the spinal cord documented on both magnetic resonance and computed tomographic examinations, is reported in a 51-year-old woman who had normal findings in a neurologic examination.ResultsThe exostosis was successfully excised.ConclusionAccurate preoperative diagnosis of vertebral exostoses is possible using magnetic resonance and computed tomography. Early excision avoids the development of a permanent neurologic deficit.

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