[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.
Olivier
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Département de Chirurgie Orthopédique, Traumatologique et Chirurgie Plastique, CHU Charles Nicolle, 1, rue de Germont, 76000 Rouen.
Defives
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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