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Related Experiment Video

Updated: May 19, 2026

Intraoperative Ultrasound in Spinal Surgery
05:53

Intraoperative Ultrasound in Spinal Surgery

Published on: August 17, 2022

Acute lumbar spinal pseudogout attack after instrumented surgery.

Yuya Ogawa1, Masahiro Nagatsuma, Gou Kubota

  • 1Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.

Spine
|August 4, 2012
PubMed
Summary

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This case report details the first instance of spinal pseudogout following lumbar surgery. Prompt diagnosis and conservative treatment resolved symptoms, highlighting the importance of considering this condition.

Area of Science:

  • Spine Surgery
  • Rheumatology
  • Orthopedics

Background:

  • Spinal joint involvement in gout and pseudogout is rare, unlike peripheral joint arthropathy.
  • This report focuses on an elderly patient experiencing acute lumbar spinal pseudogout post-instrumented surgery.

Observation:

  • The patient underwent posterior transforaminal lumbar interbody fusion for spondylolisthesis.
  • Postoperatively, the patient developed severe lower back and leg pain, unresponsive to conservative measures.

Findings:

  • Magnetic resonance imaging revealed vertebral signal changes and paraspinal fluid collection.
  • Biopsy confirmed calcium pyrophosphate dihydrate crystal deposition, ruling out infection.
  • Conservative treatment without antibiotics led to symptom resolution within two weeks.

Related Experiment Videos

Last Updated: May 19, 2026

Intraoperative Ultrasound in Spinal Surgery
05:53

Intraoperative Ultrasound in Spinal Surgery

Published on: August 17, 2022

Implications:

  • This is the first reported case of acute lumbar spinal pseudogout after instrumented spinal surgery.
  • Clinicians should consider spinal pseudogout in the differential diagnosis for patients with back pain after spinal surgery.
  • Early recognition and appropriate management can prevent complications and improve patient outcomes.