Department of Orthopedic Surgery, the First Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China.
Spine (Phila Pa 1976). 2011 Oct 15;36(22):E1485-8. doi: 10.1097/BRS.0b013e3182028ae5.
A case report of polyostotic fibrous dysplasia including thoracic spine, sacral vertebrae, and temporal bone, with the symptom of back pain.
To treat the lesions with percutaneous kyphoplasty.
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.
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.
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.
Percutaneous kyphoplasty was a good therapeutic option for the reported patient.
多骨性纤维结构不良病例报告，包括胸椎、骶椎和颞骨，伴有背痛症状。
经皮椎体后凸成形术治疗病变。
多骨性纤维结构不良累及脊柱或颞骨的情况很少见。该疾病的相关报道也很少见于文献中。这是迄今为止首次报道同时累及胸椎、骶骨和颞骨的病例。
患者为 56 岁女性，患有多骨性纤维结构不良，累及第 8、9、10 胸椎及第 8、9 肋骨；右侧颞骨和骶骨。对第 9、10 胸椎行经皮椎体后凸成形术，以实现显著的疼痛缓解和脊柱的快速稳定，同时最大限度减少创伤。
患者完全缓解疼痛，且无与水泥渗漏相关的临床并发症。患者对手术耐受良好。术后无临床并发症，数小时内即显著缓解疼痛。1 年随访时，患者无疼痛或残疾。
对于报告的患者，经皮椎体后凸成形术是一种很好的治疗选择。
