Article

Cervical fibrous dysplasia presenting as a pathologic fracture in an older patient.

Department of Neurosurgery & Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.
Journal of Korean Neurosurgical Society (impact factor: 0.6). 08/2011; 50(2):139-42. DOI:10.3340/jkns.2011.50.2.139 pp.139-42
Source: PubMed

ABSTRACT Vertebral involvement of fibrous dysplasia (FD) is rare, especially in the cervical spine. Moreover, cervical FD presenting as a pathologic fracture in older patients is extremely rare. We report a case of symptomatic cervical FD associated with pathologic fracture in a 63-year-old man. The patient presented with progressive weakness of the left arm and pain in the shoulder and arm. Radiologic studies revealed a collapsed and typical 'ground glass' radiolucency of C4. Multiple lytic lesions involved the odontoid process of C2 and the body, left pedicle, and posterior elements of C4. Combined anterior and posterior decompression and reconstruction were performed. Post-operatively, the histopathologic examination confirmed FD. On the post-operative follow-up examination, the neurologic deficits had completely resolved.

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Keywords

63-year-old man
 
cervical FD
 
cervical spine
 
fibrous dysplasia
 
histopathologic examination
 
Multiple lytic lesions
 
neurologic deficits
 
odontoid process
 
older patients
 
pathologic fracture
 
pedicle
 
posterior elements
 
progressive weakness
 
Radiologic studies
 
symptomatic cervical FD
 
typical 'ground glass' radiolucency
 
Vertebral involvement
 

Su Heon Lee