Rare case of a recurrent juvenile ossifying fibroma of the lumbosacral spine

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Juvenile ossifying fibroma (JOF) is a rare benign bone tumor that occurs most frequently in the craniofacial bones of children and young adults. There are few case reports that describe its involvement outside the craniofacial skeleton, especially within the spinal column. While JOF is classified as a benign lesion, it may be locally aggressive and demonstrate a high propensity for recurrence, even after resection. Definitive surgical management may be challenging in naive cases, but it is particularly challenging in recurrent cases and when extensive spinal reconstruction is warranted. In this report, the authors describe the diagnosis and surgical management of a 29-year-old man who presented with a large recurrent sacral trabecular-subtype JOF. A review of literature regarding JOFs, management of recurrent primary spinal tumors, and sacral reconstruction are discussed.

ABBREVIATIONS EBL = estimated blood loss; JOF = juvenile ossifying fibroma; JPOF = juvenile psammomatoid ossifying fibroma; JTOF = juvenile trabecular ossifying fibroma; MMA = methyl methacrylate.
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Contributor Notes

Correspondence Christopher P. Ames: University of California, San Francisco, CA. amesc@neurosurg.ucsf.edu.INCLUDE WHEN CITING Published online March 9, 2018; DOI: 10.3171/2017.10.SPINE17947.Disclosures Dr. Ames: employee of UCSF; consultant for DePuy Synthes, Medtronic, Stryker, K2M, and Medicrea; and royalties from Stryker, Biomet Spine, DePuy Synthes, and NuVasive.

© AANS, except where prohibited by US copyright law.

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