Acute presentation of spinal gouty arthritis: A case report and review of literature

Akhter, Asad S.; Mohyeldin, Ahmed; Grossbach, Andrew J.

doi:10.25259/sni_528_2019

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…The authors noted a white, cheese-like material causing dural compression that was confirmed to have negatively birefringent crystals on analysis. 49 Overall, gout with spine involvement should be considered in patients with a known history of gout and back pain that does not respond to conservative management. Diagnosis can be made with imaging via DECT and/or biopsy.…”

Section: Spinementioning

confidence: 99%

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Orthopaedic Management of Gout

Cohen-Rosenblum¹,

Somogyi²,

Hynes³

et al. 2022

JAAOS Glob Res Rev

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Gout is characterized by the deposition of monosodium urate crystals in patients with chronically elevated blood levels of uric acid. It is the most common form of inflammatory arthritis in the United States and is often comorbid with hypertension, obesity, and chronic kidney disease. Initial presentation is usually an acutely warm, swollen joint, most commonly the first metatarsophalangeal joint, but a variety of locations may be affected. The main treatment for gout is medical management of acute inflammation and chronic uric acid levels, but surgical treatment may be indicated in cases of damage to the surrounding soft tissue, concomitant septic arthritis, symptomatic cartilage loss, or neurologic deficits. Based on the literature to date, gout does not seem to independently affect outcomes after total hip, knee, and ankle arthroplasty, but associated comorbidities affecting outcomes in these patients should be considered.

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Section: Spinementioning

confidence: 99%

“…The authors noted a white, cheese-like material causing dural compression that was confirmed to have negatively birefringent crystals on analysis. 49…”

Section: Spinementioning

confidence: 99%

Orthopaedic Management of Gout

Cohen-Rosenblum¹,

Somogyi²,

Hynes³

et al. 2022

JAAOS Glob Res Rev

View full text Add to dashboard Cite

show abstract

Understanding spinal gout: A comprehensive study of 88 cases and their clinical implications

Nazwar,

Bal’afif,

Wardhana

et al. 2024

Journal of Craniovertebral Junction and Spine

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Background: Spinal gout, a rare and often underdiagnosed condition, significantly impacts patients’ quality of life. Therefore, the aim of the research is to analyze cases of spinal gout, including clinical features, anatomical location of spinal gout, laboratory studies, imaging studies, treatment choices, and outcomes from various cases of spinal gout. Methods: The author conducted a systematic literature search in the PUBMED and Science Direct databases from 2013 to 2023. We included clinical case presentations of spinal cases in adults, published in English. The three researchers independently reviewed the title and abstract of each article, and any differences in opinions were resolved through consensus. The extracted data were subsequently analyzed descriptively. Results: A total of 88 cases of spinal gout were obtained and studied. Out of the total reviewed cases of spinal gout, 89.77% of the subjects were male, with an average age of 51.9 years (age range 16–87 years). Common symptoms include back/neck pain (78.41%) and lower extremity weakness (37.50%). The lumbar spine is the most frequently affected region (62.50%), diagnosed primarily through magnetic resonance imaging (MRI) scans. Surgery, performed in 61.36% of cases, commonly involves decompressive laminectomy. Posttreatment, symptoms resolve in 87.50% of cases. Conclusion: Cases of spinal gout present with a variety of symptoms, including back pain and weakness. Diagnosis typically involves an MRI examination and synovial fluid analysis for confirmation. Treatment varies and includes medication therapy and surgical interventions. A deeper understanding of these cases can assist healthcare practitioners in the management and diagnosis of spinal gout cases.

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Acute presentation of spinal gouty arthritis: A case report and review of literature

Cited by 2 publications

References 5 publications

Orthopaedic Management of Gout

Orthopaedic Management of Gout

Understanding spinal gout: A comprehensive study of 88 cases and their clinical implications

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