胸椎症状性单骨型骨纤维异常增殖症
Symptomatic monostotic fibrous dysplasia of the thoracic spine.
作者信息
Oba M, Nakagami W, Maeda M, Kobayashi K
机构信息
Department of Orthopaedic Surgery, Toyohashi Municipal Hospital, Aichi, Japan.
出版信息
Spine (Phila Pa 1976). 1998 Mar 15;23(6):741-3. doi: 10.1097/00007632-199803150-00019.
STUDY DESIGN
A case report of monostotic fibrous dysplasia of the thoracic spine with symptoms of chest and back pain.
OBJECTIVE
To treat this lesion with surgery.
SUMMARY OF BACKGROUND DATA
Monostotic fibrous dysplasia of the thoracic spine is rarely seen. Few reports of this disorder appear in the literature. This is the fifth case of monostotic fibrous dysplasia of the thoracic spine presented to date.
METHODS
The patient was a 48-year-old woman with monostotic fibrous dysplasia involving the thoracic spine of the 10th vertebral body and the 10th left rib. Surgical removal of the tumor was carried out. The defect was packed with hydroxyapatite graft material. Arthrodesis or internal fixation was not made.
RESULTS
The diagnosis of fibrous dysplasia was made histologically. No obvious recurrence of the lesion has been seen for 3 years.
CONCLUSION
Surgical removal of the tumor and transplantation of hydroxyapatite was effective treatment for the reported patient.
研究设计
一份关于胸椎单发性骨纤维异常增殖症伴胸背部疼痛症状的病例报告。
目的
通过手术治疗该病变。
背景资料总结
胸椎单发性骨纤维异常增殖症较为罕见。文献中关于该病症的报道较少。这是迄今为止报道的第五例胸椎单发性骨纤维异常增殖症病例。
方法
患者为一名48岁女性，患有累及第10椎体和第10左肋的胸椎单发性骨纤维异常增殖症。对肿瘤进行了手术切除。缺损处用羟基磷灰石移植材料填充。未进行关节融合术或内固定。
结果
经组织学诊断为骨纤维异常增殖症。3年来未见病变明显复发。
结论
手术切除肿瘤并移植羟基磷灰石对该患者是有效的治疗方法。
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