Spinal gout: A review with case illustration
Hossein Elgafy1, Xiaochen Liu1, Joseph Herron1
1Hossein Elgafy, Xiaochen Liu, Joseph Herron, Department of Orthopedics, University of Toledo Medical Center, Toledo, OH 43614-5807, United States.
World Journal of Orthopedics
|December 1, 2016
Summary
Spinal gout commonly causes back or neck pain, often with high uric acid levels. Diagnosis requires crystal identification, with treatment including uric acid reduction medication and surgery if needed.
Area of Science:
- Rheumatology
- Spine Surgery
- Medical Literature Review
Background:
- Spinal gout is a rare manifestation of hyperuricemia.
- Clinical presentations and management strategies require further elucidation.
Purpose of the Study:
- To summarize clinical presentations and treatment options for spinal gout.
- To explore potential mechanisms of spinal gout formation.
Main Methods:
- Systematic literature review of 68 spinal gout cases from 2000-2014.
- Analysis of clinical features, laboratory and imaging findings, and treatment outcomes.
Main Results:
- Back or neck pain was the most common symptom (69.1%).
- Elevated uric acid levels were frequent (66.2%).
- T1-weighted MRI showed hypointense tophi; laminectomy was the commonest surgery.
Conclusions:
- Spinal gout typically presents with pain and elevated uric acid.
- Diagnosis is confirmed by monosodium urate crystals.
- Treatment involves medical management and surgical intervention when necessary.
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