Case report| Volume 62, P243-245, April 2019

Tumoral calcinosis of the lumbar and cervical spine

Published:January 03, 2019DOI:


      • The diagnosis for tumoral calcinosis remains challenging and a high index of suspicion, together with neuro imaging, can aid the surgeon in determining this diagnosis.
      • Intra-operative visualization of the pathology, as well as permanent pathology reports, is a good adjunct to confirming the diagnosis.
      • While its occurrence remains rare, the true incidence is not known and may be higher than current estimates due to wide prevalence of degenerative spine disease.



      Tumoral calcinosis has been defined as a pathological condition which presents as calcified masses around juxta-articular structures. The etiology of this pathology is still not well understood but degenerative spine diseases seem to play a role. The diagnosis of tumoral calcinosis preoperatively can prevent intraoperative confusion from unexpected findings, especially in cases where removal of the calcified mass is essential to treating the patient’s symptoms, i.e. nerve compression causing radiculopathy.

      Case description

      We present two cases of patients who presented with spinal radiculopathy and mechanical pain. Both patients were found to have a calcified facet joint mass and underwent surgical resection of the mass combined with spinal fusion resulting in excellent symptom relief post-surgery.


      For accurate diagnosis and management of tumoral calcinosis, a high index of suspicion together with neuro imaging remains a good place to start. Intra-operative visualization of the pathology as well as permanent pathology reports is a good adjunct to confirming the diagnosis.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Clinical Neuroscience
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Al-Sukaini A.
        • Paulino Pereira N.R.
        • Yu E.W.
        • Chebib I.
        • Bredella M.A.
        • Schwab J.
        Idiopathic tumoral calcinosis-like lesion in the lower cervical spine causing acute central cord syndrome: case report.
        J Neurosurg Spine. 2017; 26: 97-102
        • Guo R.
        • Kurata T.
        • Kondo T.
        • Imanishi T.
        • Mizuno T.
        • Sakakibara T.
        • et al.
        Tumoral calcinosis in the cervical spine: a case report and review of the literature.
        J Med Case Rep. 2017; 11: 304
        • Kokubun S.
        • Ozawa H.
        • Sakurai M.
        • Tanaka Y.
        Tumoral calcinosis in the upper cervical spine: a case report.
        Spine (Phila Pa 1976). 1996; 21: 249-252
        • Matsukado K.
        • Amano T.
        • Itou O.
        • Yuhi F.
        • Nagata S.
        Tumoral calcinosis in the upper cervical spine causing progressive radiculomyelopathy–case report.
        Neurol Med Chir (Tokyo). 2001; 41: 411-414
        • Miyakoshi N.
        • Shimada Y.
        • Kasukawa Y.
        • Ando S.
        Progressive myelopathy due to idiopathic intraspinal tumoral calcinosis of the cervical spine. Case report.
        J Neurosurg Spine. 2007; 7: 362-365
        • Sasaki O.
        • Nakamura K.
        • Nashimoto T.
        • Shibuya H.
        Tumoral calcinosis involving the cervical spine.
        Surg Neurol Int. 2015; 6: 109
        • Wong R.H.
        • Bhansali A.P.
        • Doppenberg E.M.
        Cervical spine instability from tumoral calcinosis.
        Acta Neurochir (Wien). 2013; 155: 1245-1246
        • Zapalowicz K.
        • Stasiow B.
        • Ciupinska-Kajor M.
        • Piwowarski W.
        Tumoral calcinosis of the cervical spine in a dialysis patient. Case report and review of the literature.
        Neurol Neurochir Pol. 2017; 51: 163-169