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.