Medical therapy of polyostotic fibrous dysplasia of the spinal column

To discuss treatments of spinal polyostotic fibrous dysplasia (PFD) and their clinical outcomes. A group of spinal PFD patients treated in orthopaedic department of Peking University Third Hospital from January 2005 to December 2010 was retrospectively reviewed. There were 3 males and 1 female. The...

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Published inBeijing da xue xue bao. Journal of Peking University. Yi xue ban Vol. 45; no. 6; p. 950
Main Authors Wu, Feng-liang, Jiang, Liang, Yang, Shao-min, Liu, Chen, Liu, Xiao-guang, Wei, Feng, Yu, Miao, Liu, Zhong-jun
Format Journal Article
LanguageChinese
Published China 18.12.2013
Subjects
Adolescent
Adult
Cervical Vertebrae - diagnostic imaging
Cervical Vertebrae - surgery
Decompression, Surgical - methods
Female
Fibrous Dysplasia, Polyostotic - diagnostic imaging
Fibrous Dysplasia, Polyostotic - surgery
Follow-Up Studies
Fracture Fixation, Internal - methods
Fractures, Spontaneous - diagnostic imaging
Fractures, Spontaneous - surgery
Humans
Male
Middle Aged
Retrospective Studies
Spinal Diseases - diagnostic imaging
Spinal Diseases - surgery
Spinal Fusion - methods
Thoracic Vertebrae - diagnostic imaging
Thoracic Vertebrae - surgery
Tomography, X-Ray Computed
Vertebroplasty
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Summary:To discuss treatments of spinal polyostotic fibrous dysplasia (PFD) and their clinical outcomes. A group of spinal PFD patients treated in orthopaedic department of Peking University Third Hospital from January 2005 to December 2010 was retrospectively reviewed. There were 3 males and 1 female. The age was 53, 17, 32, 38 years, respectively. Two cases underwent preoperative CT-guided biopsy and the other two had previous pathologic results. All the patients complained localized pain and VAS (visual analogue scale) ranged from 3 to 5. All the cases had pathologic fractures and 3 cases had neurological impairment. The surgical procedures for each patient were as follows: lesion resection combined with cervicothoracic fixation and fusion; reduction combined with occipitocervical fixation and fusion; vertebroplasty (VP); VP combined with posterior decompression and fixation. Fibrous dysplasia in each patient was confirmed by postoperative pathological examination. The operation time was 420, 150, 120, 300 minutes
ISSN:1671-167X