• Bang-Ping Qian, Yong Qiu, Zezhang Zhu, and Hui Chen.
• Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, People's Republic of China.
• Spine. 2009 May 20; 34 (12): E447-51.

Study DesignCase report.ObjectiveTo describe 2 patients of spinal osteoblastoma in upper thoracic lamina, complicated with epidural hematoma and symptoms of cord compression.Summary Of Background DataReview the clinical presentation, radiologic findings, and treatment in these 2 cases, with an emphasis on surgical management and outcomes.MethodsTwo 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.ResultsHistologic 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.ConclusionBy using surgical resection and hematoma evacuation, good outcome could be achieved for spinal osteoblastoma complicated with epidural hematoma.

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