ArticleMedicine2019
Percutaneous endoscopic treatment for cervical ligamentum flavum gouty tophus: A case report.
Article in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.
- Patient characteristics, surgical treatment, and outcomes in spinal gout: a systematic review of 315 cases.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Pooled it
- Case Report: Clinical characteristics and management strategies of intraspinal tophaceous gout: a case series and literature review.Frontiers in medicine · 2026Article
- Unilateral biportal endoscopic decompression for thoracic intraspinal gout with ossified ligamentum flavum: a case report and literature review.Frontiers in surgery · 2026Article
- Spinal gout diagnosis in chiropractic practice: narrative review.The Journal of the Canadian Chiropractic Association · 2023Article
- Article
- Beyond Medical Treatment: Surgical Treatment of Gout.Current rheumatology reports · 2020Review
- Percutaneous transforaminal endoscopic decompression for the treatment of intraspinal tophaceous gout: A case report.Medicine · 2020Article
- Multilevel Lumbar Stenosis Caused by Large Tophi Involving Both Spinal Canal and Posterior Spinal Elements: A Rare Case Report and Literature Review.Journal of medical cases · 2019Article
- 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
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
rationaleCervical ligamentum flavum gout (CLFG) is relatively rare, and its clinical manifestations are complicated; hence, it is often confused with ligamentum flavum ossification. Gout tophi may relate to certain risk factors, such as renal insufficiency and lack of long-term effective uric acid treatment. PATIENT CONCERNS: A 73-year-old man had a half-year history of left upper extremity pain and numbness, which was aggravated 6 months ago. DIAGNOSES: Computed tomography (CT) indicated spinal stenosis at the level of C5/6. Cervical stenosis was believed to be mostly related to the ossification of ligamentum flavum. The histological examination of the material removed during the surgery revealed fibrous tissues with pools of amorphous debris having a foreign body giant cell reaction, which is typical of urate gout.
interventionsWe performed complete decompressions for this case with CLFG using posterior percutaneous endoscopic technique. OUTCOMES: The patient experienced a progressive improvement in the left upper extremity pain after the surgery, and no signs of cerebrospinal fluid leakage, infection, or other complications were experienced. LESSONS: The clinician should include spinal gout in the differential diagnosis when dealing with patients with hyperuricemia, renal insufficiency, and axial pain with or without neurologic deficits. We have applied the percutaneous endoscopic technique for the treatment of spinal gout. It performed direct decompression with minimizing trauma and instability, which could be used as an alternative choice.
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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.