title: Monostotic fibrous dysplasia of the thoracic spine: clinopathological description and follow up. Case report.
abstract: The authors report the case of a 53-year-old woman with monostotic fibrous dysplasia of the thoracic spine. The patient presented with a 1-month history of pain in the thoracic spinal region. En bloc resection of the lesion was successfully performed via a transthoracic approach, and a histopathological examination confirmed the diagnosis of fibrous dysplasia. At 24-month follow-up examination, pain and vertebral instability were absent. The findings in this case illustrate that, although very rare, monostotic fibrous dysplasia of the thoracic spine should be considered in the differential diagnosis of spinal tumors. Although a consensus for management of this disease has not been achieved, the authors recommend radical removal of all involved bone as well as internal fixation or bone graft-assisted fusion to achieve long-term stabilization.
authors.affiliation: Department of Orthopaedic Surgery and Traumatology, Selçuk University, Meram Medical School, Konya, Turkey. marazi@selcuk.edu.tr
authors.forename: Mehmet
authors.initials: M
authors.lastname: Arazi
authors.forename: Onder
authors.initials: O
authors.lastname: Guney
authors.forename: Mustafa
authors.initials: M
authors.lastname: Ozdemir
authors.forename: Omer
authors.initials: O
authors.lastname: Uluoglu
authors.forename: Nuket
authors.initials: N
authors.lastname: Uzum
mesh_terms: D001416:Back Pain / Q000209:etiology; D005260:Female; D005358:Fibrous Dysplasia, Monostotic / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D013904:Thoracic Vertebrae / Q000473:pathology* / Q000601:surgery*; D016896:Treatment Outcome