Background: Fibrous dysplasia (FD) is an uncommon benign intramedullary fibro-osseous lesion. Cervical spine compromise is rare with only cases reported. Currently, the natural history of cervical FD is poorly understood, and its treatment remains controversial. Methods: A review of the literature was performed to analyze and discuss the management of cervical FD through a case report and literature review. Results: Cervical FD is a rare benign pathology. Clinical presentation is usually casual or only clinical pain. Computed tomography (CT)-guided percutaneous biopsy is a safe and effective technique for evaluation of spinal lesions; however, the accuracy of the preoperative biopsy findings has been disappointing. Although all treatments are valid, no one has been demonstrated to be better. Our proposed treatment, a corpectomy and fixation with a titanium mesh cage filled with allograft bone and an anterior cervical plate, showed good results. Conclusions: The rarity of cervical FD and the lack of detailed reports with long-term follow-up periods complicate the research on the optimal treatment approach in these cases, but apparently all are valid for pain control. In our case, a corpectomy and fixation with a titanium mesh cage filled with allograft bone and an anterior cervical plate was carried out and showed good results. We submit this surgery option to be considered in these rare type of injuries.
* Symptomatic spinal metastasis is increasingly more common in patients with cancer as therapy for the primary disease advances and patients’ outcomes and life expectancy improve.* Treatment for this condition is almost always palliative, with the goals being prevention and treatment of spine-related events, such as pain, vertebral fracture, and spinal cord compression.* The main approaches for the management of spinal metastasis are chemotherapy with targeted agents for overall disease control and radiation therapy and surgical procedures to treat spine-related events and to improve local control.* Optimal management of patients with spinal metastasis is a challenge that requires a multidisciplinary approach. Treatment must be selected on an individual basis after careful evaluation of the tumor, the patient’s performance status, and the characteristics of the spinal lesion by the respective specialists.* Long-term palliation and local control are now feasible with newer techniques—a minimally invasive surgical procedure, a separation surgical procedure, stereotactic body radiation therapy, and radiosurgery—that have changed the treatment paradigms.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.