Unilateral biportal endoscopic decompression for thoracic intraspinal gout with ossified ligamentum flavum: a case report and literature review - Summary - MDSpire
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Unilateral Biportal Endoscopic Decompression for Thoracic Spinal Gout Complicated by Ossified Ligamentum Flavum: A Case Study and Review of Existing Literature
To report a case of thoracic spinal canal stenosis due to ossification of the ligamentum flavum (OLF) with concomitant epidural tophaceous gout and its treatment, highlighting the clinical significance of this rare condition.
Key Findings:
Preoperative imaging using MRI showed severe thoracic canal stenosis at T10-T11 due to OLF and new compression fractures.
Intraoperative findings included abundant tophaceous material confirmed as monosodium urate deposits, indicating the presence of gout.
Post-operative recovery included gradual symptom resolution and improved muscle strength, with significant functional recovery noted.
Interpretation:
UBE may be a precise minimally invasive option for selected patients with thoracic intraspinal gout, potentially improving patient outcomes.
Limitations:
The study is based on a single case report, which limits the generalizability of the findings.
Conclusion:
UBE combined with multidisciplinary care and long-term urate-lowering therapy may be effective for managing thoracic spinal gout.
