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Case Reports in Orthopedics
Volume 2013 (2013), Article ID 758168, 4 pages
http://dx.doi.org/10.1155/2013/758168
Case Report

Spinal Exostosis in a Boy with Multiple Hereditary Exostoses

1Ludwig Boltzmann Institute of Osteology, Hanusch Hospital of WGKK and AUVA Trauma Centre Meidling, First Medical Department Heinrich Collin Strasse 30 A, 1140 Vienna, Austria
2Paediatric Department, Orthopädisches Spital Speising, Speisinger Strasse 109 A, 1130 Vienna, Austria

Received 13 August 2013; Accepted 2 October 2013

Academic Editors: K. Erler, A. H. Kivioja, M. G. Lykissas, and M. H. Zheng

Copyright © 2013 Ali Al Kaissi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report on a 13-year-old boy who presented with multiple hereditary exostosis and had development of back pain, associated with neurological deficits, and was found to have exostoses in the spinal canal. Spine radiograph showed a cauliflower-like abnormality of multiple exostoses of the posterior arch (pedicle) of the thoracic vertebrae (T3–5). Reformatted CT scanning revealed the simultaneous development of intra- and extraspinal osteochondromatosis of T3–5. The spinal cord was compressed by the intraspinal exostosis. Our patient was surgically treated for intraspinal exostoses and showed cessation of neurological deficits. We report what might be a rare association of spinal cord compression in a patient with multiple hereditary exostoses.