Treatment of Fibrous Dysplasia of Bone with Associated Scoliosis (Cobb Angle > 30°)

In patients with fibrous dysplasia of bone who develop scoliosis, the degree of spinal curvature is a key factor in determining clinical management. When the Cobb angle exceeds 30 degrees, active intervention warrants consideration.

Clinical Scenario

Scoliosis associated with fibrous dysplasia — Cobb angle greater than 30 degrees. This specific presentation requires early involvement of a spinal team and allied therapists to assess the rate of progression and the anatomical location of the curve.

Management Approach

The treatment pathway involves a spinal surgical intervention — the precise approach is determined by the rate of curve progression and the location of the deformity.

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References

Early consultation with spinal team and therapists is recommended and surgical fixation should be considered if Cobb angle is greater than 30 degrees, depending on the rate of progression and location of the curve.

DOI: 10.1186/s13023-019-1102-9
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