Spinal Neoplasms

Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: This case report discusses a patient who presented with right-sided buttock pain of apparently uncomplicated mechanical origin that was eventually diagnosed as a primary Ewing sarcoma/primitive neuroectodermal tumor of the sacrum. CLINICAL FEATURES: A 32-year-old male full-time student presented for care with right-sided buttock pain. INTERVENTION AND OUTCOME: After examination, the patient was referred to his general practitioner for urgent magnetic resonance imaging, the report revealed no explanation for the presenting symptoms.

Author(s): 
Kier, Annabel
Timchur, Martin D.
McCarthy, Peter W.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: This report discusses a patient with a pathologic fracture of the C2 vertebra secondary to osteolytic metastasis from squamous cell carcinoma of the lung. CLINICAL FEATURES: The patient was a 68-year-old man with a chief complaint of neck pain who was referred by his physician to a chiropractic office. The initial onset of neck pain began after a forceful sneeze that resulted in a sensation of "a twig snapping" in the neck. Radiographs revealed osteolytic destruction and pathologic fracture of the C2 spinous process.

Author(s): 
Davis, Matthew A.
Taylor, John A. M.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: This case report describes the rare presentation of an osteochondroma arising from the anterior body of C4. This is the first known reported case of an osteochondroma arising from the anterior vertebral body of C4. CLINICAL FEATURES: A 24-year-old male sought consultation with his primary care physician for neck pain. The patient was then referred for cervical radiography and for chiropractic evaluation and treatment. An osseous lesion was noted arising from the C4 vertebra. Osteochondroma was suspected; however, chondrosarcoma could not be ruled out.

Author(s): 
Reckelhoff, Kenneth E.
Green, Mayer N.
Kettner, Norman W.

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