RT Journal Article
SR Electronic
T1 Surgical Treatment of Cervical Spine Fibrous Dysplasia: Case Report and Literature Review
JF International Journal of Spine Surgery
JO Int J Spine Surg
FD International Society for the Advancement of Spine Surgery
SP 5082
DO 10.14444/5082
A1 Jorge H. Nuñez
A1 Pilar González
A1 Frank Erimeiku
A1 Ana García De Frutos
A1 Manuel Ramírez
YR 2018
UL http://ijssurgery.com//content/early/2018/11/16/5082.abstract
AB Background Fibrous dysplasia (FD) is an uncommon benign intramedullary fibro-osseous lesion. Cervical spine compromise is rare with only cases reported. Currently, the natural history of cervical FD is poorly understood, and its treatment remains controversial.Methods A review of the literature was performed to analyze and discuss the management of cervical FD through a case report and literature review.Results Cervical FD is a rare benign pathology. Clinical presentation is usually casual or only clinical pain. Computed tomography (CT)-guided percutaneous biopsy is a safe and effective technique for evaluation of spinal lesions; however, the accuracy of the preoperative biopsy findings has been disappointing. Although all treatments are valid, no one has been demonstrated to be better. Our proposed treatment, a corpectomy and fixation with a titanium mesh cage filled with allograft bone and an anterior cervical plate, showed good results.Conclusions The rarity of cervical FD and the lack of detailed reports with long-term follow-up periods complicate the research on the optimal treatment approach in these cases, but apparently all are valid for pain control. In our case, a corpectomy and fixation with a titanium mesh cage filled with allograft bone and an anterior cervical plate was carried out and showed good results. We submit this surgery option to be considered in these rare type of injuries.