ReviewSpinal cord2015
Thoracic cord compression due to ligamentum flavum gouty tophus: a case report and literature review.
Review in Spinal cord, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
17 citing papers in PubMed, 27 citations in OpenAlex.
- Case Report: Clinical characteristics and management strategies of intraspinal tophaceous gout: a case series and literature review.Frontiers in medicine · 2026Article
- Gouty tophi in the thoracic spinal canal with incomplete paraplegia: a case report.Frontiers in surgery · 2025Article
- Clinical observation of posterior decompression, fusion and fixation in the treatment of spinal gout: a case series.Journal of orthopaedic surgery and research · 2023Article
- Case of lumbar spinal stenosis and chronic tophaceous gout.Surgical neurology international · 2023Article
- Spinal disorders mimicking infection.Insights into imaging · 2021Review
- Chronic tophaceous gout mimicking widespread metastasis.BMJ case reports · 2021Article
- Tophaceous gout of the atlantoaxial joint: a case report.Journal of medical case reports · 2021Review
- Chronic tophaceous gout causing lumbar spinal stenosis.Radiology case reports · 2021Article
- Beyond Medical Treatment: Surgical Treatment of Gout.Current rheumatology reports · 2020Review
- Article
- Percutaneous endoscopic treatment for cervical ligamentum flavum gouty tophus: A case report.Medicine · 2019Article
- Tophaceous gout of the cervical and thoracic spine with concomitant epidural infection.AME case reports · 2018Article
- Gout: An old disease in new perspective - A review.Journal of advanced research · 2017Review
- Minimally Invasive Excision of Lumbar Tophaceous Gout: Case Report.International journal of spine surgery · 2017Article
- Lumbar spinal stenosis attributable to tophaceous gout: case report and review of the literature.Therapeutics and clinical risk management · 2017Article
- Gout in the Spine: Imaging, Diagnosis, and Outcomes.Current rheumatology reports · 2015Review
- Understanding spinal gout: A comprehensive study of 88 cases and their clinical implications.Journal of craniovertebral junction & spineReview
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designHere we describe a patient who developed myelopathy due to gouty tophi of the ligamentum flavum in the thoracic spine. We also review similar cases previously reported in the literature.
objectiveOur aim was to present a case of myelopathy due to thoracic spinal gouty tophus.
methodsWe report the case of a 56-year-old male with history of peripheral gout and renal insufficiency. The patient complained of back pain and paraparesis of the left lower limb. Multiple tophi were noted over several interphalangeal and metatarsophalangeal joints. Neurological examination showed decreased left lower limb strength and a positive Babinski sign. Magnetic resonance imaging of the thoracic spine revealed hypertrophy of the ligamentum flavum at the level of T3/T4, T5/T6, T9/T10, T10/T11 and T11/T12.
resultsA thoracic laminectomy at T1-T5 was performed. Chalky white granular material was found in the ligamentum flavum during surgery. Histological analysis of the specimen demonstrated a gouty tophus. The patient's back pain and paraparesis of the lower left limb improved.
conclusionThe clinician should include spinal gout in the differential diagnosis when dealing with patients with gout and axial pain with or without neurologic deficits. If this diagnosis is seriously entertained, then a CT scan or magnetic resonance imaging as well as tissue biopsy may be needed to establish the diagnosis.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.