Journal of the Chinese Medical Association
Volume 70, Issue 4 , Pages 180-182, April 2007

Gouty Arthropathy of the Cervical Spine in a Young Adult

Department of Orthopedic Surgery, Taipei City Hospital, Taipei, Taiwan, R.O.C.

Received 26 July 2006; accepted 25 January 2007.

We report a young man with gouty discitis of the cervical spine. To our knowledge, our patient is the youngest patient with cervical gouty discitis reported in the literature. The clinical manifestation was similar to that of cervical spondylosis with radiculopathy. Gouty discitis was diagnosed only when tophi in the disc were found during surgery and proved by pathologic study. Surgical decompression followed by optimization of pharmacologic treatment enabled good recovery from neurologic complications.

Key Words:  cervical spine , discitis , gout

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PII: S1726-4901(09)70354-5

doi:10.1016/S1726-4901(09)70354-5

Journal of the Chinese Medical Association
Volume 70, Issue 4 , Pages 180-182, April 2007