{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T11:20:21Z","timestamp":1783077621337,"version":"3.54.6"},"reference-count":3,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Multiple hereditary exostoses (MHE) is a rare autosomal dominant disorder. It is characterized by the development of cartilage-capped bony outgrowths arising from the epiphyseal or diaphyseal regions of long bones, leading to reduced joint motion and pain secondary to compression. MHE is attributed to the predominant exostin-1 and exostin-2 mutations that cause multiple osteochondromas. The most common locations of these lesions are on the knee joint, humerus, pelvis, scapula, and also the spine.<\/jats:p>\n <\/jats:sec>\n \n Case description:<\/jats:title>\n A 26-year-old Caucasian male with a diagnosis of MHE, presenting with progressive spastic tetraparesis. The cervical magnetic resonance (MR) revealed an osteochondroma arising from the C2 lamina dorsolaterally compressing the spinal cord at the C1\u2013C2 level. Following a C2 laminectomy, the postoperative MR imaging confirmed gross total lesion excision. Postoperatively, the patient\u2019s myelopathy gradually improved and was discharged to a rehabilitation facility.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Rarely, MHE spinal osteochondromas cause spinal cord compression that is readily relieved with typical decompressive procedures.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_448_2026","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T10:37:22Z","timestamp":1783075042000},"page":"380","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cervical spinal myelopathy secondary to cervical exostoses: A rare cause of cord compression - A case report"],"prefix":"10.25259","volume":"17","author":[{"given":"Dario","family":"Palescandolo","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University Hospital Vito Fazzi ASL Lecce, Lecce, Italy"},{"name":"Department of Neurosurgical, IRCCS University Hospital San Raffaele, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sohaib","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Vito Fazzi ASL Lecce, Lecce, Italy"},{"name":"Department of Neurosurgical, IRCCS University Hospital San Raffaele, Milan, Italy"},{"name":"Department of Rheumatology, San Pietro Vernotico Hospital, San Pietro Vernotico, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Melatini","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Vito Fazzi ASL Lecce, Lecce, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marilena","family":"Rolli","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Vito Fazzi ASL Lecce, Lecce, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Domenico","family":"Cassitto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Vito Fazzi ASL Lecce, Lecce, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Giaquinta","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Vito Fazzi ASL Lecce, Lecce, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Mastromatteo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Vito Fazzi ASL Lecce, Lecce, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manfredo","family":"Esposito","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Vito Fazzi ASL Lecce, Lecce, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariagrazia","family":"Nizzola","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Vito Fazzi ASL Lecce, Lecce, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kumail","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, San Pietro Vernotico Hospital, San Pietro Vernotico, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haleema","family":"Sadia","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, San Pietro Vernotico Hospital, San Pietro Vernotico, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vittorio","family":"Voena","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Vito Fazzi ASL Lecce, Lecce, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Ruggieri","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Vito Fazzi ASL Lecce, Lecce, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianfreda","family":"Cosimo Damiano","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Vito Fazzi ASL Lecce, Lecce, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2026,7,3]]},"reference":[{"key":"10.25259\/SNI_448_2026\/ref-1","first-page":"199","article-title":"Hereditary multiple exostoses: Current insights","volume":"11","author":"D\u2019Arienzo","year":"2019","journal-title":"Orthop Res Rev"},{"key":"10.25259\/SNI_448_2026\/ref-2","doi-asserted-by":"crossref","first-page":"101505","DOI":"10.1016\/j.berh.2020.101505","article-title":"Multiple hereditary exostoses and enchondromatosis","volume":"34","author":"Jurik","year":"2020","journal-title":"Best Pract Res Clin Rheumatol"},{"key":"10.25259\/SNI_448_2026\/ref-3","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1186\/s13244-025-01899-6","article-title":"Hereditary multiple exostoses: An educational review","volume":"16","author":"Rueda-De-Eusebio","year":"2025","journal-title":"Insights Imaging"}],"container-title":["Surgical Neurology 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