胸椎术后邻近节段痛风石1例并文献回顾
Postoperative Gout Tophus in the Thoracic Spine: A Case Report and Literature Review
DOI: 10.12677/ACM.2023.134815, PDF,   
作者: 刘厚辰, 林安涛, 赵文灏:青岛大学医学部,山东 青岛;陈晓炯, 马学晓*, 王 岩*:青岛大学附属医院脊柱外科,山东 青岛
关键词: 胸椎痛风脊柱痛风痛风石Thoracic Gout Spinal Gout Tophus
摘要: 目的:临床发现一例胸椎痛风石病例,进而探讨胸椎痛风石好发部位、临床症状、影像学表现以及治疗方案等。结果:患者最终诊断为胸椎痛风石,并接受了椎板切除椎管内痛风石切除胸椎内固定手术。结论:胸椎痛风石好发于T7-T11,临床表现多为痛风石压迫所致的神经症状,手术治疗是目前最有效的治疗方式。
Abstract: Objective: A case of thoracic gout stone was found clinically, which led to the discussion of the pre-ferred site, symptoms, imaging manifestations, and treatment options for thoracic gout. Results: The patient was finally diagnosed with thoracic gout and underwent laminectomy intradural gout resection with thoracic internal fixation. Results: Gout in the thoracic spine is usually found in T7-T11, and the clinical manifestations are mostly neurological symptoms caused by gout compres-sion, and surgery is currently the most effective treatment modality.
文章引用:刘厚辰, 陈晓炯, 林安涛, 赵文灏, 马学晓, 王岩. 胸椎术后邻近节段痛风石1例并文献回顾[J]. 临床医学进展, 2023, 13(4): 5773-5778. https://doi.org/10.12677/ACM.2023.134815

参考文献

[1] Yen, H.L., Cheng, C.H. and Lin, J.W. (2002) Cervical Myelopathy due to Gouty Tophi in the Intervertebral Disc Space. Acta Neurochirurgica, 144, 205-207. [Google Scholar] [CrossRef] [PubMed]
[2] Fenton, P., Young, S. and Pru-tis, K. (1995) Gout of the Spine. Two Case Reports and a Review of the Literature. The Journal of Bone and Joint Sur-gery, American Volume, 77, 767-771. [Google Scholar] [CrossRef] [PubMed]
[3] Ding, Y., Wang, W., Jiang, W., Zhang, L., Wang, T. and Li, Z. (2018) Tophaceous Gout Causing Thoracic Spinal Cord Compression: Case Report and Review of the Litera-ture. Neuro-Chirurgie, 64, 171-176. [Google Scholar] [CrossRef] [PubMed]
[4] Toprover, M., Krasnokutsky, S. and Pillinger, M.H. (2015) Gout in the Spine: Imaging, Diagnosis, and Outcomes. Current Rheumatology Reports, 17, 70. [Google Scholar] [CrossRef] [PubMed]
[5] Dalbeth, N. and Stamp, L. (2014) Hyperuricaemia and Gout: Time for a New Staging System? Annals of the Rheumatic Diseases, 73, 1598-1600. [Google Scholar] [CrossRef] [PubMed]
[6] Zheng, Z.F., Shi, H.L., Xing, Y., Li, D., Jia, J.Y. and Lin, S. (2015) Thoracic Cord Compression due to Ligamentum Flavum Gouty Tophus: A Case Report and Literature Review. Spinal Cord, 53, 881-886. [Google Scholar] [CrossRef] [PubMed]
[7] Javedan, S.P. and Dickman, C.A. (1999) Cause of Adjacent-Segment Disease after Spinal Fusion. Lancet (London, England), 354, 530-531. [Google Scholar] [CrossRef
[8] Schlegel, J.D., Smith, J.A. and Schleusener, R.L. (1996) Lumbar Motion Segment Pathology Adjacent to Thoracolumbar, Lumbar, and Lumbosacral Fusions. Spine, 21, 970-981. [Google Scholar] [CrossRef] [PubMed]
[9] Leaney, B.J. and Calvert, J.M. (1983) Tophaceous Gout Producing Spinal Cord Compression. Case Report. Journal of Neurosurgery, 58, 580-582. [Google Scholar] [CrossRef] [PubMed]
[10] Kao, Y., Wang, Z., Leng, J., Qu, Z., Zhuang, X., Ma, H., Song, Q., Liu, Z., Sun, S. and Liu, Y. (2020) Thoracic Gout Tophus with Abdominal Wall Protrusion: A Case Report. Medi-cine, 99, e19348. [Google Scholar] [CrossRef
[11] Hsu, C.Y., Shih, T.T., Huang, K.M., Chen, P.Q., Sheu, J.J. and Li, Y.W. (2002) Tophaceous Gout of the Spine: MR Imaging Features. Clinical Radiology, 57, 919-925. [Google Scholar] [CrossRef] [PubMed]
[12] Hausch, R., Wilkerson, M., Singh, E., Reyes, C. and Harrington, T. (1999) Tophaceous Gout of the Thoracic Spine Presenting as Back Pain and Fever. Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases, 5, 335-341. [Google Scholar] [CrossRef] [PubMed]
[13] Lumezanu, E., Konatalapalli, R. and Weinstein, A. (2012) Axial (Spinal) Gout. Current Rheumatology Reports, 14, 161-164. [Google Scholar] [CrossRef] [PubMed]