Tophaceous gouty arthritis with spondylolysis: a case report

Tophaceous gouty arthritis with spondylolysis: a case report

Abstract Spinal gout is a rare occurrence, and the combination of gout with lumbar spondylolysis has not been reported. We present a unique case involving a 29-year-old male who complained of low back pain for 1 month. Computed tomography and magnetic resonance imaging revealed articular subchondral...

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Veröffentlicht in:Journal of surgical case reports 2023-12, Vol.2023 (12), p.rjad689
Hauptverfasser: Ye, Yongsheng, Deng, Fangyue, Luo, Jiahui, Huang, Xiongfei, Qu, Xiliang, Zhuang, Shabin
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container_issue 12
container_start_page rjad689
container_title Journal of surgical case reports
container_volume 2023
creator Ye, Yongsheng
Deng, Fangyue
Luo, Jiahui
Huang, Xiongfei
Qu, Xiliang
Zhuang, Shabin
description Abstract Spinal gout is a rare occurrence, and the combination of gout with lumbar spondylolysis has not been reported. We present a unique case involving a 29-year-old male who complained of low back pain for 1 month. Computed tomography and magnetic resonance imaging revealed articular subchondral erosions and a mass in the left L5-S1 facet joints. Initially treated for a spinal infection, the patient subsequently underwent lumbar spinal canal decompression and fusion, achieving complete relief. Postoperative pathology confirmed the spinal lesions to be tophaceous gout. Dual-energy CT or biopsy can assist in confirming the diagnosis. This report discusses another rare case of tophaceous gouty arthritis with spondylolysis to be added to the literature.
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title Tophaceous gouty arthritis with spondylolysis: a case report
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