Author(s): Santosh Kumar Sahu1, Anant Kumar Garg2, Sanjay Kumar3, Sangram Panda4
We here with present a case of osteochondroma arising from the spinous process of L2, L3, L4 vertebrae (Rt. Side) in a 28 years old male, labourer by profession presented to our hospital OPD on 08/11/2012 with chief complaint of progressive swelling over the Rt. paraspinal area of lumbar spine for last 1yr. Pain and swelling were gradually increasing. There was no h/o- fever, cough or weight loss or urinary complaints or any sensory or motor involvement. X-ray showed increased density solitary mass at lumbar region (L2, L3, L4). MR imaging showed it to be contiguous with the spinous process of lumbarvertebrae - L2, L3, L4 suggesting the diagnosis of osteochondroma, a rare presentation without cord compression, and distinguishing the lesion from a calcified disk fragment. After thorough investigation we have excised the tumor and sent for histopathological examination. No residual deficit was found post-operatively. Patient was relieved of the symptoms and is now under follow-up.