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Fibrous Dysplasia of the Spine - A Case Involving Three Levels of Thoracic Spine
Kenneth M Joyce1, Sven O'hEireamhoin1, Michael Tan Chien Sheng2
1Department of Trauma & Orthopaedic Surgery, Galway University Hospital, Galway, Ireland.
Introduction:
Involvement of the spinal column in either monostotic or polyostotic form is rare, with fewer than thirty-five cases discussed in the literature. Most of the cases of polyostotic fibrous dysplasia of spine have involvement of the appendicular skeleton.
Case Report:
We report a case of a 74-year-old Irish man with a two month history of back pain. Investigations revealed a diagnosis of fibrous dysplasia involving three levels of the thoracic spine in isolation. The patient underwent T2-T9 stabilization and bone grafting.
Conclusion:
A case of fibrous dysplasia involving three levels of the thoracic spine in isolation has never previously been reported. The extreme rarity of this type of presentation can pose a diagnostic dilemma, and in cases with spinal involvement, a consensus of management has not yet been achieved.
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