Monostotic fibrous dysplasia of the thoracic spine: clinopathological description and follow up. Case report.
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.
Arazi
Mehmet
M
Department of Orthopaedic Surgery and Traumatology, Selçuk University, Meram Medical School, Konya, Turkey. marazi@selcuk.edu.tr
Guney
Onder
O
Ozdemir
Mustafa
M
Uluoglu
Omer
O
Uzum
Nuket
N
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