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

Abstract

<jats:p>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.</jats:p>

Fibro‐osseous Lesions of Paranasal Sinus and Craniofacial Region: A Retrospective Study of 282 Cases

“…OF has complicated pathological types 19 (Fig. 5), and studies have reported that juvenile ossifying fibroma (JOF) is invasive with a high recurrence rate 20 . There were 18 patients younger than 18 years old with three recurrent cases after surgery in our study.…”

Rare case of juvenile ossifying fibroma of the lumbar spine causing vertebra plana

“…While classified as a benign lesion, JOF can be locally aggressive and invade surrounding tissues; it also has a high rate of local recurrence (30%–50%) after resection 4. The mean age at diagnosis of JOF reported in literature is 11 years—with 79% of cases occurring before the age of 15 years 4 5. Two distinct clinicopathologic variants of JOF have been described which show similar biological behaviour.…”