Circumferential minimally invasive reconstruction for lumbar destructive deformity secondary to spinal gout: a case report - Report - MDSpire

Circumferential minimally invasive reconstruction for lumbar destructive deformity secondary to spinal gout: a case report

  • By

  • Cheng-Chun Peng

  • Dueng-Yuan Hueng

  • Wei-Hsiu Liu

  • Meng-Chi Lin

  • Bon-Jour Lin

  • June 26, 2026

  • 0 min

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Clinical Report: Minimally Invasive Circumferential Reconstruction for Lumbar Deformity

Background

Spinal gout is a rare manifestation of gout characterized by the deposition of monosodium urate crystals in spinal structures, potentially leading to significant neurological deficits. Surgical intervention may be necessary when conservative management fails, particularly in cases of structural instability or neurological compromise.

Data Highlights

No numerical or trial data is available in the source material.

Key Findings

  • A 59-year-old male with chronic gouty arthritis developed a destructive lumbar deformity due to spinal gout.
  • The patient underwent a two-stage circumferential reconstruction, including oblique lumbar interbody fusion and endoscopic decompression.
  • Postoperative assessment showed normal ambulation and significant improvement in neurological deficits.
  • Successful fusion was confirmed at the L3–4 segment three months post-surgery.
  • Spinal gout can lead to various neurological impairments, necessitating timely diagnosis and intervention.

Clinical Implications

This case underscores the importance of considering surgical options for patients with spinal gout who exhibit structural instability or neurological symptoms. Minimally invasive techniques may offer effective solutions for complex spinal deformities associated with gout.

Conclusion

The successful management of this case illustrates the potential of minimally invasive surgical techniques in addressing spinal deformities resulting from gout. Further research is needed to establish standardized protocols for such interventions.

Related Resources & Content

  1. Frontiers in Surgery, 2026 -- Unilateral biportal endoscopic decompression for thoracic intraspinal gout with ossified ligamentum flavum: a case report and literature review
  2. Frontiers in Surgery, 2026 -- Contralateral trans-spinous base inclined approach using AUSS for two-level lumbar lateral recess and foraminal stenosis: a case report
  3. 2023 EULAR recommendations on imaging in diagnosis and management of crystal-induced arthropathies in clinical practice
  4. 2020 American College of Rheumatology Guideline for the Management of Gout
  5. Frontiers in Surgery, 2026 -- Circumferential minimally invasive reconstruction for lumbar destructive deformity secondary to spinal gout: a case report
  6. A Muscle-Sparing Tubular Approach for Bilateral Lumbar Microdiscectomy: Surgical Technique and Video Demonstration
  7. Frontiers in Surgery — Anterior Vertebrectomy and O-Arm Navigation for Old L5 Traumatic Fractures with Kyphotic Deformity: A Retrospective Case Series of Clinical and Radiological Outcomes
  8. 2023 EULAR recommendations on imaging in diagnosis and management of crystal-induced arthropathies in clinical practice
  9. 2020 American College of Rheumatology Guideline for the Management of Gout
  10. Frontiers | Circumferential minimally invasive reconstruction for lumbar destructive deformity secondary to spinal gout: a case report

Original Source(s)

Circumferential minimally invasive reconstruction for lumbar destructive deformity secondary to spinal gout: a case report

  • by Cheng-Chun Peng, Dueng-Yuan Hueng, Wei-Hsiu Liu, Meng-Chi Lin, Bon-Jour Lin

  • June 26, 2026

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