Department of Neurosurgery, Medical University Innsbruck, Anichstrasse 35, A-6020, Innsbruck, Austria.
Acta Neurochir (Wien). 2020 Nov;162(11):2927-2931. doi: 10.1007/s00701-020-04531-2. Epub 2020 Aug 17.
Monostotic fibrous dysplasia (MFD) of the lumbar spine represents an exceedingly rare lesion. A 26-year-old patient presented with a progressive osteolytic lesion of the vertebral body L2 and the diagnosis of MFD. A minimally invasive left-sided eXtreme Lateral Interbody Fusion (XLIF) approach with resection of the vertebral body L2 with placement of a mesh cage was performed. No complications were observed perioperatively and the symptoms rapidly improved. Minimally invasive piecemeal resection with a combined dorsolateral approach showed a favorable clinical and radiological outcome and seems to be a safe and reliable technique for MFD.
腰椎单骨性纤维结构不良（MFD）是一种极为罕见的病变。一位 26 岁的患者因 L2 椎体进行性溶骨性病变就诊，诊断为 MFD。我们采用微创左侧经椎间孔腰椎体间融合术（XLIF），切除 L2 椎体，放置网笼。围手术期无并发症发生，症状迅速改善。采用经皮微创分块切除联合外侧入路治疗显示出良好的临床和影像学结果，对于 MFD 似乎是一种安全可靠的技术。
