Journal of Korean Neurosurgical Society

  • 제50권2호
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  • Pages.139-142
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  • 2011
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Cervical Fibrous Dysplasia Presenting as a Pathologic Fracture in an Older Patient

  • Lee, Su-Heon (Department of Neurosurgery & Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Han, In-Ho (Department of Neurosurgery & Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Kang, Dong-Wan (Department of Neurosurgery & Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine) ;
  • Choi, Byung-Kwan (Department of Neurosurgery & Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine)
  • 투고 : 2011.10.26
  • 심사 : 2011.08.08
  • 발행 : 2011.08.28
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초록

Vertebral involvement of fibrous dysplasia (FD) is rare, especially in the cervical spine. Moreover, cervical FD presenting as a pathologic fracture in older patients is extremely rare. We report a case of symptomatic cervical FD associated with pathologic fracture in a 63-year-old man. The patient presented with progressive weakness of the left arm and pain in the shoulder and arm. Radiologic studies revealed a collapsed and typical 'ground glass' radiolucency of C4. Multiple lytic lesions involved the odontoid process of C2 and the body, left pedicle, and posterior elements of C4. Combined anterior and posterior decompression and reconstruction were performed. Post-operatively, the histopathologic examination confirmed FD. On the post-operative follow-up examination, the neurologic deficits had completely resolved.

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참고문헌

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피인용 문헌

  1. Zygomaticomaxillary Complex Fracture in a Zygomatic Bone Affected by Monostotic Fibrous Dysplasia: A Very Rare Association vol.24, pp.3, 2011, https://doi.org/10.1097/scs.0b013e318286984e
  2. Fibrous dysplasia of the maxilla in an elderly female: Case report on a 14-year quiescent phase vol.46, pp.4, 2011, https://doi.org/10.5624/isd.2016.46.4.259
  3. Locally aggressive monostotic fibrous dysplasia of the cervical spine mimicking malignancy: a case report and literature review vol.5, pp.None, 2011, https://doi.org/10.1051/sicotj/2019024
  4. Imaging characteristics of a rare case of monostotic fibrous dysplasia of the sacrum: A case report vol.9, pp.5, 2011, https://doi.org/10.12998/wjcc.v9.i5.1111