Polyostotic fibrous dysplasia of the thoracic spine: case report and review of the literature.

STUDY

DESIGN

A case report of polyostotic fibrous dysplasia including thoracic spine, sacral vertebrae, and temporal bone, with the symptom of back pain.

OBJECTIVE

To treat the lesions with percutaneous kyphoplasty.

SUMMARY OF BACKGROUND DATA: Polyostotic fibrous dysplasia involving either spine or temporal bone is rarely seen. Few reports of this disorder appear in the literature. This is the first case including thoracic spine, sacrum, and temporal bone together presented to date.

METHODS

The patient was a 56-year-old woman with polyostotic fibrous dysplasia involving the thoracic spine of the eighth, ninth, and 10th vertebral body; adjacent rib; the right temporal bone and the sacrum. Percutaneous kyphoplasty in ninth and 10th vertebral body was carried out to achieve substantial pain relief and rapid stabilization of the spine with minimal invasion.

RESULTS

The patient experienced complete pain relief and had no clinical complications associated with the cement leakage. The patient tolerated the procedure well. There were no clinical complications and substantial pain relief was noted within hours of the procedure. She has no pain or disability at 1-year follow-up.

CONCLUSION

Percutaneous kyphoplasty was a good therapeutic option for the reported patient.