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Spinal cord compression in renal osteodystrophy
J D Macfarlane1, A Minhas, K S Han
1Department of Rheumatology and Neurosurgery, University Hospital, Leiden, Netherlands.
Abstract:
A patient undergoing regular haemodialysis for chronic renal insufficiency developed neck pain followed by progressive spinal cord compression due to subluxation at the level C3-4. Decompression, laminectomy and osteosynthesis led to an almost complete recovery. A review of all the histological specimens suggested that hyperparathyroidism and not amyloidosis caused the vertebral destruction.