Abstract
Fibrous dysplasia of the spine is uncommon, especially in monostotic form. Isolated vertebral involvement in polyostotic form is very rare. We report a case of polyostotic fibrous dysplasia with lesions localized to dorso-lumbar spine in a 45-year-old rheumatoid arthritis patient. No associated appendicular lesions, cutaneous manifestations or endocrinopathies were seen. The extreme rarity of this type of lesion can pose a diagnostic dilemma, and biopsy is required for diagnosis. The association with rheumatoid arthritis in our case seems to be a chance occurrence.
References
Rosenblum B, Overby C, Levine M, Handler M, Sprecher S. Monostotic fibrous dysplasia of the thoracic spine. Spine 1987 Nov;12(9):939–942
Gibson MJ, Middlemiss JH. Fibrous dysplasia of bone. Br J Radiol 1971;44:1–13
Garfin SR, Rothman RH. An unusual case of fibrous dysplasia of cervical vertebra and rib. Skeletal Radiol 1986;15:72–76
Ehara S, Kattapuram SV, Rosenberg AE. Fibrous dysplasia of the spine. Spine 1992 Aug;17(8):977–979
Avimadje AM, Goupille P, Zerkak D. Monostotic fibrous dysplasia of the lumbar spine. Joint Bone Spine 2000 Jan;67(1):65–70
Oba M, Nakagami W, Maeda M et al. Symptomatic monostotic fibrous dysplasia of the thoracic spine. Spine 1998;23:741–743
Nabarro MN, Giblin PE. Monostotic fibrous dysplasia of the thoracic spine. Spine 1994 Feb 15;19(4):463–465
Leet AI, Magur E, Lee JS, Wientroub S, Robey PG, Collins MT. Fibrous dysplasia in the spine: prevalence of lesions and association with scoliosis. J Bone Joint Surg Am 2004 Mar;86(3):531–537
Jones SM, Kingston H, Mitra D, Macleod TIF, Bhalla AK. Coexisting polyostotic fibrous dysplasia and paget’s disease. Clin Exp Rheumatol 1996;14:187–190
Rodenberg J, Jensen OM, Keller J, Nielsen OS, Bunger C, Jurik AG. Fibrous dysplasia of the spine, costae and hemipelvis with sarcomatous transformation. Skeletal Radiol 1996 Oct;25(7):682–684
Chapurlat RD, Hugueny P, Delmas PD, Meunier PJ. Treatment of fibrous dysplasia of bone with intravenous pamidronate: long-term effectiveness and evaluation of predictors of response to treatment. Bone 2004 Jul;35(1):235–242
Guille JT, Bowen JR. Scoliosis and fibrous dysplasia of the spine. Spine 1995;20(2):248–251
Janus GJ, Engelbert RH, Pruijs JE. Instrumentation for correction and fixation of scoliosis in fibrous dysplasia of the thoracolumbar spine. Eur Spine J 1998;7(3):260–262
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Gogia, N., Marwaha, V., Atri, S. et al. Fibrous dysplasia localized to spine: a diagnostic dilemma. Skeletal Radiol 36 (Suppl 1), 19–23 (2007). https://doi.org/10.1007/s00256-006-0102-8
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DOI: https://doi.org/10.1007/s00256-006-0102-8