Suwak P, Barnett SA, Song BM, Heffernan MJ. Atypical osteochondroma of the lumbar spine associated with suprasellar pineal germinoma: A case report . World J Orthop 2021; 12(9): 720-726 [PMID: 34631455 DOI: 10.5312/wjo.v12.i9.720]
Corresponding Author of This Article
Michael J Heffernan, MD, Associate Professor, Department of Orthopaedic Surgery, Children's Hospital New Orleans, 200 Henry Clay Ave, New Orleans, LA 70118, United States. mheff1@lsuhsc.edu
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Sep 18, 2021; 12(9): 720-726 Published online Sep 18, 2021. doi: 10.5312/wjo.v12.i9.720
Atypical osteochondroma of the lumbar spine associated with suprasellar pineal germinoma: A case report
Patrik Suwak, Scott A Barnett, Bryant M Song, Michael J Heffernan
Patrik Suwak, Scott A Barnett, Bryant M Song, Michael J Heffernan, Department of Orthopaedic Surgery, Louisiana State University Health Sciences Center, New Orleans, LA 70112, United States
Michael J Heffernan, Department of Orthopaedic Surgery, Children's Hospital New Orleans, New Orleans, LA 70118, United States
Author contributions: Suwak P contributed to the case report design, image formatting, manuscript preparation; Barnett SA, and Song BM contributed to the image formatting, manuscript preparation; Heffernan MJ contributed to the case report design, manuscript preparation.
Informed consent statement: Informed consent was obtained, and the study was approved by the institutional review board.
Conflict-of-interest statement: Heffernan MJ reports personal fees from Zimmer Biomet, Inc. Barnett SA, Suwak P, and Song BM have nothing to disclose.
CARE Checklist (2016) statement: The CARE Checklist guidelines were followed for the production of this case report.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Michael J Heffernan, MD, Associate Professor, Department of Orthopaedic Surgery, Children's Hospital New Orleans, 200 Henry Clay Ave, New Orleans, LA 70118, United States. mheff1@lsuhsc.edu
Received: April 1, 2021 Peer-review started: April 1, 2021 First decision: June 7, 2021 Revised: June 19, 2021 Accepted: August 20, 2021 Article in press: August 20, 2021 Published online: September 18, 2021 Processing time: 166 Days and 5.2 Hours
Abstract
BACKGROUND
Osteochondromas are the most common benign bone tumor, accounting for 36% of benign bone tumors. Often found within the appendicular skeleton, osteochondromas of the spine are rare, comprising 4% to 7% of primary benign spinal tumors.
CASE SUMMARY
We report a case of a solitary lumbar osteochondroma in an 18-year-old male with a history of a suprasellar pineal germinoma treated with combined chemotherapy and radiation. He underwent mass excision and partial laminectomy with the ultrasonic bone scalpel (Misonix, Farmingdale, NY, United States) at the L5 Level without the use of adjuvants. The patient returned to work and full activities without back pain at 3 mo postoperatively.
CONCLUSION
Osteochondromas are common tumors of the appendicular skeleton but rarely occur within the spine. This case discussion supplements current osteochondroma literature by describing an unusual presentation of this tumor.
Core Tip: Osteochondromas of the spine are a rare but treatable condition. For symptomatic lesions, complete resection is largely curative without adjuvant therapy. The patient in this case report was pain free at his post-operative visits without signs or symptoms of recurrence or complication. He returned to work as a manual laborer at 3 mo. Further reports of patients diagnosed with osteochondromas and a history of childhood radiation will enable better understanding of radiation-induced osteochondromas and the rates and locations at which they occur.
