Monostotic Fibrous Dysplasia of the Lumbar Spine with Pathologic Fracture: A Case Report with Treatment and Follow-up
|Habibollahzadeh P, Sadat M, Mehrpour SR, Hassanmirzaei B* and Mozafari M|
|Teheran University of Medical Siences, Tehran, Iran|
|Corresponding Author :||Bahar Hassanmirzaei
Teheran University of Medical Siences, Shariati hospital
Jallal-al-ahmad street, Tehran, Iran
E-mail: [email protected]
|Received February 13, 2013; Accepted July 29, 2013; Published July 31, 2013|
|Citation: Habibollahzadeh P, Sadat M, Mehrpour SR, Hassanmirzaei B, Mozafari M (2013) Monostotic Fibrous Dysplasia of the Lumbar Spine with Pathologic Fracture: A Case Report with Treatment and Follow-up. J Spine 2:140. doi:10.4172/2165-7939.1000140|
|Copyright: © 2013 Habibollahzadeh P, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Objective: To discuss our experience beside others in order to get a better view about these cases and their management.
Summary of background data: Fibrous dysplasia (FD) is a developmental abnormality of the bone and it represents about 7% of the benign bone tumors; hence vertebral involvement is reported in only 2.5% of all cases. An agreed method of treatment has not been established yet.
Methods: A 33 year old woman with a history of non specific chronic low back pain for more than 3 years, presented with sudden onset of an acute and severe low back pain with normal examination except for a local tenderness on lumbar vertebrae. Encountering a patient presenting red flags, spine radiography, bone scan, spinal CT scan and MRI was done and the patient underwent CT-guided biopsy afterward. When the diagnosis of fibrous dysplasia was done, she was treated with curettage and fixation with cage, screw and allograft insertion.
Results: The patient was followed for one year investigating spine stability, neurological deficit or any other symptoms which represent a one year good follow up outcome.
Conclusion: Based on our experience, here we recommend curettage, cage fixation and allograft insertion in cases of monostotic fibrous dysplasia of the spine when pain, fracture or instability exists.