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European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025

Endoscopic management of lumbar spinal tophaceous gout: six cases treated with percutaneous transforaminal (PTED) and interlaminar (PIED) discectomy and a literature review.

СтатьяОбзорКлинический случайНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…

История · было → стало

Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.

Wang Han, Li Xinzhi, Li Bo, Zhang Qiong, Que Xiangyong, Chen Wenyao, Huang Chongyu, Ai Qinyue, Abulimiti Mireadeli, Yang Qi, Zhang Lunci

Аннотация

BACKGROUND: Gout is a metabolic disorder caused by the deposition of urate crystals in the joints and surrounding tissues. Prolonged hyperuricemia leads to the formation and accumulation of urate crystals, often resulting in acute and chronic joint damage. Spinal gout is a rare type caused by the deposition of urate crystals in spinal tissues. It leads to local inflammation, pain, and, in severe cases, neurological symptoms. The clinical presentation of spinal gout is varied and lacks specificity, making it easily confused with other spinal disorders, especially in elderly patients.

METHODS: We report six rare lumbar disc deposits caused by tophi (gout stones). The main symptoms in these patients were lower back pain accompanied by leg pain and/or numbness. All patients underwent surgical treatment with satisfactory outcomes. We also provide a brief review of the relevant literature on spinal gout.

RESULTS: This article discusses the pathophysiological mechanisms, clinical manifestations, imaging characteristics, diagnosis, and treatment strategies for spinal gout. The goal is to enhance clinicians' awareness of spinal gout, and enable early detection, diagnosis, and treatment.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты