• Spine · Jun 2003

    Case Reports

    Painful lumbosacral melorheostosis treated by fusion.

    • Peter A Robertson, Angus S Don, and Mary V Miller.
    • Department of Orthopaedic Surgery, Auckland Hospital, Auckland, New Zealand. p.a.robertson@xtra.co.nz
    • Spine. 2003 Jun 15;28(12):E234-8.

    Study DesignA case report of low back pain associated with a diagnosis of melorheostosis of the lumbosacral spine.ObjectiveTo describe a rare presentation of melorheostosis and subsequent successful surgical treatment.Summary Of Background DataMelorheostosis is a rare condition and spinal pain has not been described in association with the condition.MethodsA patient with disabling low back pain and suspected melorheostosis of the lumbosacral spine responded favorably to diagnostic facet joint blocks. Treatment was lumbosacral fusion and biopsy of the abnormal bone. The densely sclerotic bone presented technical difficulties requiring modification of surgical technique.ResultsDramatic pain and disability reduction occurred following lumbosacral fusion. Histologic examination was consistent with melorheostosis.ConclusionMelorheostosis rarely causes severe low back pain that can respond favorably to fusion surgery.

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