title: Non-traumatic myositis ossificans in the lumbosacral paravertebral muscle.
abstract: Myositis ossificans (MO) is a benign condition of non-neoplastic heterotopic bone formation in the muscle or soft tissue. Trauma plays a role in the development of MO, thus, non-traumatic MO is very rare. Although MO may occur anywhere in the body, it is rarely seen in the lumbosacral paravertebral muscle (PVM). Herein, we report a case of non-traumatic MO in the lumbosacral PVM. A 42-year-old man with no history of trauma was referred to our hospital for pain in the low back, left buttock, and left thigh. On physical examination, a slightly tender, hard, and fixed mass was palpated in the left lumbosacral PVM. Computed tomography showed a calcified mass within the left lumbosacral PVM. Magnetic resonance imaging (MRI) showed heterogeneous high signal intensity in T1- and T2-weighted image, and no enhancement of the mass was found in the postcontrast T1-weighted MRI. The lack of typical imaging features required an open biopsy, and MO was confirmed. MO should be considered in the differential diagnosis when the imaging findings show a mass involving PVM. When it is difficult to distinguish MO from soft tissue or bone malignancy by radiology, it is necessary to perform a biopsy to confirm the diagnosis.
authors.affiliation: Department of Neurosurgery, Ilsan Hospital, Dongguk University, Goyang, Korea.
authors.forename: Daeyoung
authors.initials: D
authors.lastname: Jung
authors.forename: Keun-Tae
authors.initials: KT
authors.lastname: Cho
authors.forename: Ji Hyeon
authors.initials: JH
authors.lastname: Roh
keywords: Lumbosacral spine; Myositis ossificans; Paravertebral muscle
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