Medknow Publications on behalf of the Neurological Society of India
Abstract
Chondromyxoid fibroma is a rare benign bone tumor representing less
than 0.5% of all bone tumors. It commonly involves the long tubular
bones. Involvement of the spine is rare. A 35-year-old man presented
with history of neck pain, restriction of neck movements, pain and
numbness along the medial aspect of the left forearm and weakness with
wasting of the left hand. A presumptive diagnosis of a bony tumor such
as an aneurysmal bone cyst or a giant cell tumor involving the seventh
vertebral body was made on plain X-rays, MRI and bone scan. He
underwent C7 central corpectomy, incomplete intralesional curettage
with iliac bone grafting and C6 to T1 interspinous wiring. The
histological diagnosis was chondromyxoid fibroma. On eight years′
follow-up, CT scan showed no progression of the tumor with good
alignment and fusion of the graft at the site of the corpectomy. The
authors conclude that corpectomy and iliac bone grafting for
chondromyxoid fibroma has a good outcome on long-term follow-up