Evidence map›Paper›PMID 27900275›Full record

ArticleWorld journal of orthopedics2016

Spinal gout: A review with case illustration.

Hossein Elgafy, Xiaochen Liu, Joseph Herron

Abstract read
In one paragraph

Article in World journal of orthopedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Spinal gout diagnosis in chiropractic practice: narrative review.The Journal of the Canadian Chiropractic Association · 2023
    Article
  8. Article
  9. Case of lumbar spinal stenosis and chronic tophaceous gout.Surgical neurology international · 2023
    Article
  10. The Journal of international medical research · 2022
    Article
  11. Review
  12. Article
  13. Gout Storm.The American journal of case reports · 2021
    Article
  14. Mimicking Meningismus: A Case of Atlantoaxial Gout.Neurology. Clinical practice · 2021
    Article
  15. Beyond Medical Treatment: Surgical Treatment of Gout.Current rheumatology reports · 2020
    Review
  16. Article
  17. Article
  18. Article
  19. Spinal gout causing reversible quadriparesis: a case report and literature review.Journal of community hospital internal medicine perspectives · 2018
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Hossein ElgafyHossein Elgafy, Xiaochen Liu, Joseph Herron, Department of Orthopedics, University of Toledo Medical Center, Toledo, OH 43614-5807, United States.
Xiaochen LiuHossein Elgafy, Xiaochen Liu, Joseph Herron, Department of Orthopedics, University of Toledo Medical Center, Toledo, OH 43614-5807, United States.
Joseph HerronHossein Elgafy, Xiaochen Liu, Joseph Herron, Department of Orthopedics, University of Toledo Medical Center, Toledo, OH 43614-5807, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo summarize clinical presentations and treatment options of spinal gout in the literature from 2000 to 2014, and present theories for possible mechanism of spinal gout formation.

methodsThe authors reviewed 68 published cases of spinal gout, which were collected by searching "spinal gout" on PubMed from 2000 to 2014. The data were analyzed for clinical features, anatomical location of spinal gout, laboratory studies, imaging studies, and treatment choices.

resultsOf the 68 patients reviewed, the most common clinical presentation was back or neck pain in 69.1% of patients. The most common laboratory study was elevated uric acid levels in 66.2% of patients. The most common diagnostic image finding was hypointense lesion of the gout tophi on the T1-weighted magnetic resonance imaging scan. The most common surgical treatment performed was a laminectomy in 51.5% and non-surgical treatment was performed in 29.4% of patients.

conclusionSpinal gout most commonly present as back or neck pain with majority of reported patients with elevated uric acid. The diagnosis of spinal gout is confirmed with the presence of negatively birefringent monosodium urate crystals in tissue. Treatment for spinal gout involves medication for the reduction of uric acid level and surgery if patient symptoms failed to respond to medical treatment.

Indexed as

GoutMonosodium urateSpinalTophi

Identifiers

PMID27900275
PMCPMC5112347

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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.