Razi Journal of Medical Sciences

A thirteen years old girl was referred for back pain and right thoracic scoliosis, complete spastic paraplegia, bladder and bowel incontinence .

The patient had history of back pain for a 4 year period eventually leading to scoliosis and neurological deficiency. Symptoms gradually worsened up to 4 months before admission converting to complete spastic paraplegia and bladder and bowel incontinence .

Imaging study revealed destruction of T₇, T_8J T₉ vertebral bodies with severe cord compression. Resection of tumor and cord decompression plus anterior spinal fusion were performed by two rib strut graft. uneventful neurologic recovery followed surgery and then the patient underwent posterior spinal fusion and compression and distraction Harrington rod instrumentation for structural scoliosis.

A 4 year period toltow-up revealed full recovery and solid spinal fusion and she is now walking without aid of any devices. The histologic study of pathologic bone tissue revealed osteoblastoma. Review of literatures confirmed no previous report on affection of three adjacent vertebral bodies by osteoblastoma.