ABSTRACT

Purpose:

We describe a case with monostotic Paget’s disease suffering from lumbar radiculopathy due to L4–5 instability and vertebral body collapse. Paget’s disease is a chronic focal skeletal disorder that usually affects the pelvis and spine. Spinal cases are generally asymptomatic; in symptomatic cases, neurological dysfunctions are related to non-compressive vascular defects, hemorrhage, sarcomatous degeneration, spinal stenosis, or pathological fractures, primarily in the lumbar region.

Methods:

In the present paper, a case of monostotic Paget’s disease suffering from lumbar radiculopathy due to L4–5 instability and vertebral body collapse is described.

Results:

The patient was treated with a hybrid surgical procedure combining percutaneous transpedicular screw fixation and vertebroplasty.

Conclusions:

Paget’s disease may lead to vertebral body collapse and foraminal narrowing, causing radiculopathy. Posterior spinal instrumentation with lordotic rods and vertebroplasty may reduce the pain and resolve the neurologial deficit in patients with Paget’s disease.