[Spinal locations of pigmented villonodular synovitis: case report and review of the literature].
Pigmented villonodular synovitis is rarely observed in the spine: less than thirty cases have been reported. We report a new case observed in the cervical spine and review the pertinent literature. The clinical and radiological presentation of these forms of villonodular synovitis is non-specific and similar to that if primary or secondary spinal tumors. Histology is indispensable for certain diagnosis. Complete surgical resection is the treatment of choice but with a risk of recurrence to the order of 20%. Non-surgical treatments have not proven to be effective for spinal villonodular synovitis. Regular MRI surveillance is indicated. Spinal localizations may raise difficult technical problems in the event of recurrence.
Département de Chirurgie Orthopédique, Traumatologique et Chirurgie Plastique, CHU Charles Nicolle, 1, rue de Germont, 76000 Rouen.
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Olivier
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Defives
D000328:Adult; D001706:Biopsy; D002574:Cervical Vertebrae; D006801:Humans; D008297:Male; D013131:Spine / Q000473:pathology; D013586:Synovitis, Pigmented Villonodular / Q000175:diagnosis* / Q000601:surgery; D016896:Treatment Outcome