Katsevman Gennadiy A, Turner Ryan C, Lucke-Wold Brandon P, Sedney Cara L, Bhatia Sanjay
Department of Neurosurgery, West Virginia University School of Medicine, One Medical Center Drive Suite 4300, Morgantown, WV, 26506, USA.
Center for Neuroscience, West Virginia University School of Medicine, Morgantown, WV, 26506, USA.
Acta Neurochir (Wien). 2016 Jun;158(6):1115-20. doi: 10.1007/s00701-016-2794-4. Epub 2016 Apr 11.
Osteopathia striata with cranial sclerosis (OSCS) is a rare but well-described pathology characterized by abnormalities in bone deposition in the axial and cranial skeleton as well as other abnormalities and associated deficits. These skeletal abnormalities can lead to significant intra-operative challenges for the surgeon and influence outcomes for the patient. In this report, we present a case of a patient with OSCS who was involved in a traumatic motor vehicle crash and underwent posterior cervico-thoracic fusion for a T4 chance fracture. Bony abnormalities in the cervico-thoracic spine presented a significant operative challenge due to alterations in bony anatomy and bone architecture. This case serves as an example of the challenges that the spine surgeon faces when dealing with OSCS, and highlights the differences between OSCS and commoner skeletal hyperplasias such as osteopetrosis.
