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Tophaceous gouty arthritis with spondylolysis: a case report
Yongsheng Ye1, Fangyue Deng1, Jiahui Luo1
1Department of Orthopedics, Dongguan Hospital of Traditional Chinese Medicine, Dongcheng District, Dongguan City, Guangdong Province, 523000, China.
Abstract:
Spinal gout is a rare occurrence, and the combination of gout with lumbar spondylolysis has not been reported. We present a unique case involving a 29-year-old male who complained of low back pain for 1 month. Computed tomography and magnetic resonance imaging revealed articular subchondral erosions and a mass in the left L5-S1 facet joints. Initially treated for a spinal infection, the patient subsequently underwent lumbar spinal canal decompression and fusion, achieving complete relief. Postoperative pathology confirmed the spinal lesions to be tophaceous gout. Dual-energy CT or biopsy can assist in confirming the diagnosis. This report discusses another rare case of tophaceous gouty arthritis with spondylolysis to be added to the literature.
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