Ann Spine Res | Volume 1, Issue 1 | Case Report | Open Access

Bone Involvement in Systemic Mastocytosis: Multiple Osteoporotic Vertebral Fractures. Case Report and Review

David Pescador¹, Carlos Marqués Parrilla^1*, José Augusto Lorenzo², Tito Fernández², Arturo Montesdeoca² and Juan Blanco¹

¹Department of Spine Unit, University Hospital of Salamanca, Spain
²Department of Spine Unit, Doctor Negrin University Hospital of Las Palmas de Gran Canarias, Spain

^*Correspondance to: Carlos Marqués Parrilla 

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Abstract

Background Context: Mastocytosis comprises a wide range of disorders characterized by an excessive proliferation and accumulation of mast cells in the tissue.
Purpose: To describe a rare case of aggressive systemic mastocytosis in the lumbar spine in a young patient. Study
Design: Case report.
Methods: We present the case of a 42-year old male patient, who presented episodes of general redness of 6 months of evolution, associated with diarrhea and lower back pain of one year of evolution. The physical examination reveals hyperpigmented macules on both lower limbs. We performed a biopsy with the results of aggressive systemic mastocytosis. We carried out a bilateral transpedicular vertebroplasty with a biphasic reabsorbable ceramic bone replacement in L4 and L5. Conclusions: In view of the age of the patient and his recovery potential we have replaced the classic vertebroplasty of methyl-methacrylate with a biphasic reabsorbable ceramic bone piece with very satisfactory results.

Keywords:

Aggressive systemic mastocytosis; Lumbar; Vertebroplasty; Methyl-methacrylate; Biphasic reabsorbable ceramic bone

Citation:

Pescador D, Parrilla CM, Lorenzo JA, Fernández T, Montesdeoca A, Blanco J. Bone Involvement in Systemic Mastocytosis: Multiple Osteoporotic Vertebral Fractures. Case Report and Review. Ann Spine Res. 2018; 1(1): 1004.