Immature Heterotopic Ossification in the Iliacus Muscle in Spinal Cord Injury - A Case Report -

Heterotopic ossification (HO) is a frequent complication associated with spinal cord injury and can lead to significant problems during rehabilitation. Surgical resection of HO could be applied to patients who do not respond to conservative treatment. To reduce the risk of recurrence after the operation, radiation therapy and NSAID or bisphosphonate administration may be utilized. We report the case of a 48-year-old male with a T3-sparing spinal cord injury who underwent successful treatment of immature HO in the iliacus muscle with a combination of surgical resection, radiation therapy, and NSAID administration.

[1]  P. Denormandie,et al.  Impact of late surgical intervention on heterotopic ossification of the hip after traumatic neurological injury. , 2009, The Journal of bone and joint surgery. British volume.

[2]  P. Denormandie,et al.  Ankylosing neurogenic myositis ossificans of the hip. An enhanced volumetric CT study. , 2005, The Journal of bone and joint surgery. British volume.

[3]  F. Jamil,et al.  Management of immature heterotopic ossification (HO) of the hip , 2002, Spinal Cord.

[4]  Woo-Chun Lee,et al.  Heterotopic Ossification Around the Hip in an Adult Spastic Patient , 2001 .

[5]  D. Barber,et al.  The treatment of immature heterotopic ossification in spinal cord injury with combination surgery, radiation therapy and NSAID , 1999, Spinal Cord.

[6]  K. Sarafis,et al.  Ankylosed hips caused by heterotopic ossification after traumatic brain injury: a difficult problem. , 1999, The Journal of trauma.

[7]  C. Choi,et al.  Surgical resection of heterotopic ossification in the brain-injured , 1993 .

[8]  S. L. Stover,et al.  Experience with surgical resection of heterotopic bone in spinal cord injury patients. , 1991, Clinical orthopaedics and related research.

[9]  D. Garland.  A clinical perspective on common forms of acquired heterotopic ossification. , 1991, Clinical orthopaedics and related research.

[10]  D. Garland,et al.  Diphosphonate treatment for heterotopic ossification in spinal cord injury patients. , 1983, Clinical orthopaedics and related research.