Wood ML, Lee TK, Armstrong WB and Wang BY
Synovial chondromatosis (SC) is an uncommon, generally benign disorder characterized by metaplastic changes of the synovial membrane which give rise to the formation of multiple cartilaginous nodules within the synovium. It typically affects the large joints such as the knee, hips, wrist, ankle and shoulder. Synovial chondromatosis of the spine has been reported but is extremely uncommon. We describe a case of cervical spinal synovial chondromatosis in a 42-year-old female, presenting with an enlarging neck mass without the usual accompanying joint symptoms of pain and swelling. The mass involved the transverse processes of C3-C4 and the paraspinal tissues of the posterior neck, without invasion into the vertebral bone. The final diagnosis was established by correlating radiologic findings with the histopathology of the excised specimen.
