Erosive Spondylo‐Arthropathy and Tertiary Hyperparathyroidism

Abler, J.S.; Cameron, DC

doi:10.1111/j.1440-1673.1989.tb03243.x

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…Some reports referred to deposition of aluminum, hydroxyapatite crystals, and secondary hyperparathyroidism as possible causes of DSA [1,5,11,18], but there was no convincing evidence that they were definite etiological factors in the development of DSA.…”

Section: Discussionmentioning

confidence: 99%

The relationship between the type of destructive spondyloarthropathy and its 10 years ago cervical spine alignment

et al. 2009

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The objective of this retrospective study was to analyze the relationship between the type of destructive spondyloarthropathy (DSA) and its 10 years ago cervical spine alignment. DSA was reported as a serious complication of long-term hemodialysis. Although previous reports in regard to risk factor of DSA dealt with the period of hemodialysis and the patient's age upon commencement of hemodialysis, we could not find any reports of the relationship between the type of DSA and its 10 years ago cervical spine alignment. In 96 DSA patients who were the subjects of our study, 8 patients were defined as stage 1, 39 patients as stage 2, 5 patients as stage 3 type A, 11 patients as stage 3 type B, and 33 patients as stage 3 type D. The C2/ C7 angle of stage 3 type B was statistically low. The number of the abnormal local cervical alignment was larger in stage 3 types A and B. Multivariate analysis revealed that the risk factors of stage 3 types A and B were the C2/C7 angle and the existence of local abnormal alignment. Fifty-four patients were symptomatic due to DSA and treated at our hospital. Forty-four patients were treated conservatively with medications, physiotherapy, or wearing cervical brace. Ten patients underwent surgical treatment. The loss of physiological lordosis of cervical spine promoted the progression of DSA. Furthermore, the number of the abnormalities of local cervical alignment was statistically larger in stage 3 types A and B; they were the crucial factor promoting the progression of DSA stage 3 types A and B.

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Section: Discussionmentioning

confidence: 99%

The relationship between the type of destructive spondyloarthropathy and its 10 years ago cervical spine alignment

et al. 2009

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“…Radiographs revealed destruction of the odontoid process with an associated mass. Based on sequential radiography, DSA has been shown to progress rapidly in many cases, sometimes in as short as 4 months (2, 3, 12,17,25,34,42,43).…”

Section: Complications Treatment and Preventionmentioning

confidence: 99%

Destructive Spondyloarthropathy: An Overview

Pak

Lash

1999

Int J Artif Organs

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Long-Term Follow-Up of Patients With Tertiary Hyperparathyroidism Treated by Resection of a Single or Double Adenoma

et al. 2002

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ObjectiveTo determine whether patients with tertiary hyperparathyroidism due to single-or two-gland disease undergoing limited resection have similar long-term outcomes compared with patients with hyperplasia undergoing subtotal or total parathyroidectomy. Summary Background DataTertiary hyperparathyroidism occurs in less than 2% of patients after renal transplantation. Approximately 30% of these cases are caused by one or two hyperfunctioning glands. Nevertheless, the standard operation for this disease has been subtotal or total parathyroidectomy with autotransplantation. MethodsSeventy-one patients underwent surgery for tertiary hyperparathyroidism. At the time of surgery, 19 patients who had a single or double adenoma underwent limited resection of the enlarged glands only (adenoma group). The remaining 52 patients with three-or four-gland hyperplasia had subtotal or total parathyroidectomy with implantation (hyper group). Long-term cure rates between the two groups were compared. ResultsIn the adenoma group, 7 patients had a single adenoma and 12 underwent resection of a double adenoma. In the hyper group, 49 patients had subtotal and 3 had total parathyroidectomies. After surgery, 70 of 71 patients (99%) were cured of their hypercalcemia. The incidence of postoperative transient hypocalcemia was significantly higher in the hyper group (27% vs. 5%). No patients in either group had permanent hypocalcemia requiring long-term supplementation. With up to 16 years of follow-up, there have been no recurrences in the adenoma group, whereas three patients (6%) in the hyper group have had recurrent or persistent hyperparathyroidism. ConclusionsPatients with tertiary hyperparathyroidism who underwent limited resection of a single or double adenoma only had equivalent long-term cure rates compared with patients undergoing more extensive resections. Therefore, the authors recommend in patients with tertiary hyperparathyroidism and enlargement of only one or two parathyroid glands that the resection be limited to these abnormal glands only.

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Erosive Spondylo‐Arthropathy and Tertiary Hyperparathyroidism

Cited by 3 publications

References 4 publications

The relationship between the type of destructive spondyloarthropathy and its 10 years ago cervical spine alignment

The relationship between the type of destructive spondyloarthropathy and its 10 years ago cervical spine alignment

Destructive Spondyloarthropathy: An Overview

Long-Term Follow-Up of Patients With Tertiary Hyperparathyroidism Treated by Resection of a Single or Double Adenoma

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