Abstract
Monostotic fibrous dysplasia of the spine is a rare entity. Only 26 cases, of which 11 were located in the cervical spine, are to be found in the literature. We report a 56-year-old male patient with cervicobrachialgia of half year’s duration. Radiographs showed a diffuse destruction of the vertebral body and the spinous process of C4. A biopsy of the spinous process confirmed histopathologically a fibrous dysplasia. Due to minor symptoms, no surgical treatment was performed or is planned unless in case of increasing pain, an acute instability or neurological symptoms.
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Albright F, Butler AM, Hampton AO (1937) Syndrome characterized by osteitis fibrosa disseminata, areas of pigmentation and endocrine dysfunction. N Engl J Med 216:727–746
Avimadje AM, Goupille P, Zerback D, Begnard D (2000) Monostotic fibrous dysplasia of the lumbar spine. Joint Bone Spine 67(1):65–70
Campanacci M Bone and soft tissue tumors. Aulo Gaggi Editore Bologna and Springer, Berlin Heidelberg New York
Chow LTC, Griffith J, Chow WH (2000) Monostotic fibrous dysplasia of the spine: report of a case involving the lumbar transverse process and review of literature. Arch Orthop Trauma Surg 120:460–464
Ehara S, Kattapuram SV, Rosenberg AE (1992) Fibrous dysplasia of the spine. Spine 17:977–979
Henry A (1969) Monostotic fibrous dysplasia. J Bone Joint Surg 51B:300–306
Hu SS, Healey JH, Huvos AG (1990) Fibrous dysplasia of the second cervical vertebra. J Bone Joint Surg 72-A(5):781–783
Huvos AG, Higinbotham NL, Miller TR (1972) Bone sarcomas arising in fibrous dysplasia. J Bone Joint Surg Am 54:1047–1056
Lichtenstein L (1938) Polyostotic fibrous dysplasia. Arch Surg 36:874–898
Lichtenstein L, Jaffe HL (1942) Fibrous dysplasia of the bone: a condition affecting one, several or many bones, the graver cases of which may present abnormal pigmentation of skin, hyperthyroidism or still other skeletal abnormalities. Arch Pathol 33:777–816
McCune DJ, Bruch H (1937) Osteodystrophia fibrosa. Am J Dis Child 54:806–848
Mezzadri JJ, Acotto CG, Mautalen C (1999) Surgical treatment of cervical spine fibrous dysplasia: technical case report and review. Neurosurgery 44(6):1342–1349
Nishiura I, Koyama T, Takayama S (1992) Fibrous dysplasia of the cervical spine with atlanto-axial dislocation. Neurochirurgia 35(4):123–126
Oba M, Nakagami W, Maeda M, Kobayashi K (1998) Symptomatic monostotic fibrous dysplasia of the thoracic spine. Spine 23(6):741–743
Ohki I (1990) Monostotic fibrous dysplasia in the spine. J West Pacif Orthop Assoc 27:107–110
Perlick L, Rolf V, Wallny T, Schmitt O (2000) Die atlantoaxiale Instabilität als seltene Komplikation der fibrösen Dysplasie. Unfallchirurg 103:73–75
Resnik CS, Liniger JR (1984) Monostotic fibrous dysplasia of the cervical spine: case report. Radiology 151(1):49–50
Schajowicz F (1994) Tumor like lesions of the bone. Springer, Berlin Heidelberg New York, pp 567–581
Smith MD, Bohlman HH, Gideonse N (1990) Fibrous dysplasia of the cervical spine: a fatal complication of treatment. J Bone Joint Surg 72-A(8):1254–1258
Stirrat AN, Fisher CJ (1989) Fibrous dysplasia of the axis. Spine 14(2):243–245
Wright JF, Stoker DJ (1988) Fibrous dysplasia of the spine. Clin Radiol 39:523–527
Garfin WR, Rothman RH (1986) Case report 346. Skeletal Radiol 15:72–76
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Proschek, D., Orler, R., Stauffer, E. et al. Monostotic fibrous dysplasia of the spine: report of a case involving a cervical vertebra. Arch Orthop Trauma Surg 127, 75–79 (2007). https://doi.org/10.1007/s00402-006-0231-5
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DOI: https://doi.org/10.1007/s00402-006-0231-5