儿童肋骨骨软骨瘤伴椎管内伸展和脊髓受压:1例报告及文献复习。

IF 2.1 3区 医学 Q2 PEDIATRICS
Frontiers in Pediatrics Pub Date : 2025-07-02 eCollection Date: 2025-01-01 DOI:10.3389/fped.2025.1454139
Weihua Ye, Guanghui Zhu, Zheng Liu
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引用次数: 0

摘要

目的:报道一例罕见的5岁儿童肋骨软骨瘤导致脊髓受压的病例,并对已有的关于肋骨软骨瘤的文献进行复习。方法:回顾性分析1例5岁男性遗传性多发性外骨骼增生(HME)患者,表现为肋骨软骨瘤所致急性截瘫。肿瘤起源于肋骨,相关的脊髓病症状以及椎体元素的广泛侵蚀和融合是值得注意的。患者接受了全椎板切除术、肿瘤切除术和胸椎固定融合。使用关键词“肋骨骨软骨瘤”和“脊髓压迫”检索PubMed数据库,进行全面的文献综述。结果:发现一哑铃状骨肿瘤起源于左第七肋骨肋椎交界处,引起椎内和椎间孔外肿块效应和脊髓压迫。手术干预包括全椎板切除术和肿瘤切除,然后进行胸椎固定和融合。组织病理学分析证实了骨软骨瘤的诊断。术后恢复顺利,在10个月的随访中,神经症状明显改善,下肢无力完全缓解。在英语文学的语料库中,只有9个这样的例子被记录下来。结论:本病例突出了肋骨软骨瘤引起脊髓压迫的罕见性和临床意义,特别是在一个年轻的儿科患者中。早期识别和手术干预是获得良好结果的关键。全面的影像学检查和周密的手术计划是确保肿瘤完全切除和保持脊柱稳定的必要条件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Rib osteochondroma with intraspinal extension and cord compression in chlidren: case report and literature review.

Objective: To report a rare case of costal osteochondroma resulting in spinal cord compression in a 5-year-old patient, and to review the existing literature on costal osteochondromas.

Methods: A retrospective review was conducted on a case involving a 5-year-old male patient with hereditary multiple exostoses (HME), presenting with acute paraparesis due to a costal osteochondroma. The tumor's origin within the rib, associated myelopathic symptoms, and extensive erosion and fusion of vertebral elements were notable. The patient underwent total laminectomy, resection of the tumor, and thoracic fixation and fusion. A comprehensive literature review was performed using the keywords "Rib Osteochondroma" and "Spinal cord compression" to search the PubMed database.

Results: A dumbbell-shaped bony tumor originating from the left seventh rib at the costovertebral junction was identified, causing intraspinal and extraforaminal mass effect and spinal cord compression. Surgical intervention included total laminectomy and tumor excision, followed by thoracic fixation and fusion. Histopathological analysis confirmed the diagnosis of osteochondroma. Postoperative recovery was uneventful, with significant improvement in neurological symptoms and complete resolution of lower extremity weakness at the ten-month follow-up. A mere nine cases of such presentation have been documented in the corpus of English-language literature.

Conclusion: This case highlights the rarity and clinical significance of costal osteochondromas causing spinal cord compression, particularly in a young pediatric patient. Early recognition and surgical intervention are crucial for favorable outcomes. Comprehensive imaging and careful surgical planning are essential to ensure complete tumor excision and maintain spinal stability.

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来源期刊
Frontiers in Pediatrics
Frontiers in Pediatrics Medicine-Pediatrics, Perinatology and Child Health
CiteScore
3.60
自引率
7.70%
发文量
2132
审稿时长
14 weeks
期刊介绍: Frontiers in Pediatrics (Impact Factor 2.33) publishes rigorously peer-reviewed research broadly across the field, from basic to clinical research that meets ongoing challenges in pediatric patient care and child health. Field Chief Editors Arjan Te Pas at Leiden University and Michael L. Moritz at the Children''s Hospital of Pittsburgh are supported by an outstanding Editorial Board of international experts. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Frontiers in Pediatrics also features Research Topics, Frontiers special theme-focused issues managed by Guest Associate Editors, addressing important areas in pediatrics. In this fashion, Frontiers serves as an outlet to publish the broadest aspects of pediatrics in both basic and clinical research, including high-quality reviews, case reports, editorials and commentaries related to all aspects of pediatrics.
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