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Journal of Korean Neurosurgical Society 2011;50(2): 139-142.
doi: https://doi.org/10.3340/jkns.2011.50.2.139
Cervical Fibrous Dysplasia Presenting as a Pathologic Fracture in an Older Patient.
Su Heon Lee, In Ho Han, Dong Wan Kang, Byung Kwan Choi
Department of Neurosurgery & Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea. farlateral@hanmail.net
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.
Key Words: Fibrous dysplasia; Cervical spine; Elderly
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