ABSTRACT

Solitary osteochondroma, despite being the most frequent benign lesion of the skeletal system, rarely affects the cervical spine. In this paper, we report on a 12-year-old boy admitted with a mass at his neck, with a cecile exostoses at the 4th cervical vertebrae. Radiographic, MRI and CT scan revealed anterior wedging and spontaneous fusion at the 4th and 5th cervical vertebrae. Surgical excision of the mass was performed and posterior fusion was added to prevent potential cervical kyphosis. Postoperatively, a cervical collar was used for two months and a solid fusion mass was noted at the postoperative 6th month. The surgical treatment and natural features of this rare di-sease are discussed in this case report.