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The Journal of Bone & Joint Surgery British Volume
Vol. 55-B, Issue 4 | Pages 841 - 847
1 Nov 1973
Gertzbein SD Cruickshank B Hoffman H Taylor GA Cooper PW

1. A case is reported of a benign osteoblastoma of the body of the second thoracic vertebra causing paraplegia in a woman aged twenty-six.

2. The tumour was resected, apparently entirely, through a costo-transversectomy approach, and the paraplegia resolved almost completely.

3. Five and a half years later symptoms recurred, due to a recurrence in the form of a large, partly calcified tumour in the left upper thorax which was resected in toto via a transpleural approach.

4. The considerable histological differences between the original tumour and the recurrence are discussed.


The Journal of Bone & Joint Surgery British Volume
Vol. 54-B, Issue 1 | Pages 149 - 151
1 Feb 1972
Gertzbein SD Evans DC

1. Paralysis of the femoral nerve secondary to haemorrhage of the iliopsoas muscle is described.

2. Four cases are presented. None of the patients had haemophilia, but one was receiving anticoagulant treatment–the second reported case in the literature. Only one case in a non-haemophiliac not receiving anticoagulants has been described previously. We have added three more such cases.

3. This condition can usually be managed conservatively because recovery can be expected. We believe that operation is indicated only if the lesion progresses and the symptoms and signs increase.

4. These cases underline the importance of assessing the femoral nerve in patients with hip symptoms after trauma. Iliopsoas haemorrhage should be suspected as the cause of femoral nerve neuropathy in cases of trauma to the back in adolescents or in those receiving anticoagulants.