alexa Monostotic Fibrous Dysplasia of the Lumbar Spine with Pathologic Fracture: A Case Report with Treatment and Follow-up
ISSN: 2165-7939

Journal of Spine
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Case Report

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
Orthopedics Department
Teheran University of Medical Siences, Shariati hospital
Jallal-al-ahmad street, Tehran, Iran
Tel: +98-912-2772485
Fax: +98-21-88220055
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.

Abstract

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.

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