Solitary osteochondroma of the cervical spine.

Objective: To discuss a case of cervical spine osteochondroma found incidentally during evaluation of a rib injury. To demonstrate diagnostic imaging, including plain film radiography, radionuclide bone scan, computed tomography and magnetic resonance imaging.

Clinical Features: This article presents the second reported case of osteochondroma associated with the C6 vertebral body. The classic imaging features of exostosis and a cartilaginous cap were identified. The osteochondroma was confluent with marrow of the C6 articular pillar. A biopsy was performed for confirmation of the lesion's histological character.

Intervention: Surgical resection was performed to remove the osteochondroma.

Conclusion: Clinical examination, radiological evaluation and advanced diagnostic imaging helped detect and characterize an incidental cervical spine mass.