Spinal Melorheostosis: A Rare Cause for Thoracic Radiculopathy.

BACKGROUND: Symptomatic spinal melorheostosis is a rare entity, and its surgical management is even rarer. Our objective is to highlight the importance of considering spinal melorheostosis among the differential diagnosis of thoracic radiculopathy.
METHODS: We report a case of melorheostosis involving the T9 vertebra presenting with unilateral radicular pain managed surgically by decompression and posterior stabilization.
RESULTS: Our patient had complete symptomatic relief following surgical resection without any perioperative complications.
CONCLUSIONS: Spinal melorheostosis, although rare, forms an important differential diagnosis in patients presenting with thoracic radiculopathy where surgical management can be a viable option in cases refractory to conservative treatment. LEVEL OF EVIDENCE: 5. ©International Society for the Advancement of Spine Surgery 2020.