Fibrous Dysplasia of the Spine – A Case Involving Three Levels of Thoracic Spine

Learning Point of the Article :
Unusual Presentation of Fibrous Dysplasia of Spine with its Management.

Authors: Joyce KM[1], O’hEireamhoin S[1], Tan Chien Sheng M[2], Devitt A[1]

[1] Department of Trauma & Orthopaedic Surgery, Galway University Hospital, Galway, Ireland.

[2] Division of Anatomic Pathology, Department of Histopathology, Galway University Hospital, Galway, Ireland.

Address of Correspondence:
Dr. Kenneth Joyce, Department of Trauma & Orthopaedic Surgery, Galway University Hospital, Galway, Ireland. Phone: 353879654586. E-mail: kennethjoyce1@gmail.com

Article Received : 2014-04-05,

Article Accepted : 2014-04-10

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.

Keywords: Fibrous – dysplasia – thoracic – spine.

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How to Cite This Article: Joyce KM, O’hEireamhoin S, Tan Chien Sheng M, Devitt A. Fibrous Dysplasia of the Spine – A Case Involving Three Levels of Thoracic Spine. Journal of Orthopaedic Case Reports 2014 April, 4(04): 73-77 .

Fibrous Dysplasia of the Spine – A Case Involving Three Levels of Thoracic Spine

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