AI Article Synopsis
- A 36-year-old man with a burst fracture in his lower spine experienced the injury after sneezing and has a history of indolent systemic mastocytosis and osteoporosis treated with bisphosphonates.
- Due to neurological complications, he underwent surgery involving decompression and spinal fusion using cemented screws.
- The case highlights the need for a multidisciplinary approach and careful preoperative planning for vertebral fractures in young patients with systemic mastocytosis, which is rare but increasingly diagnosed, emphasizing the importance of awareness among spine surgeons.
Article Abstract
Case: We present a 36-year-old man with L1 burst fracture after a sneeze. He was in follow-up for indolent systemic mastocytosis (ISM), and osteoporosis was treated with bisphosphonate. Owing to neurologic impairment, posterior decompressive laminectomy and thoraco-lumbar fusion with cemented screws were performed.
Conclusion: Vertebral fractures in young patients affected by ISM required a multidisciplinary approach and a careful preoperative planning to achieve acceptable results. These fractures are so rare that even an experienced spine surgeon may not come across them during his whole career. Nevertheless, diagnostic tool improvement makes its diagnosis more frequent, that is why every spine surgeon should know this disease.
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| http://dx.doi.org/10.2106/JBJS.CC.20.00259 | DOI Listing |
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