To report a rare case of lumbar deformity due to spinal gout and highlight the surgical strategy for its management.
Approach:
Case Presentation: A 59-year-old male with chronic gouty arthritis underwent a two-stage circumferential reconstruction procedure for lumbar deformity.
Surgical Procedure: Stage one involved a lateral retroperitoneal pre-psoas approach with allograft interbody fusion; stage two utilized endoscopic decompression via a unilateral biportal endoscopic approach and transpedicular instrumentation fixation.
Key Findings:
The patient achieved normal ambulation post-surgery with significant improvement in neurological deficits.
Successful fusion at the L3–4 segment was confirmed three months post-operation.
Interpretation:
Spinal gout can lead to significant deformities and neurological deficits, necessitating surgical intervention when conservative management fails.
Limitations:
Lack of standardized protocols for surgical management of spinal gout.
Limited evidence on the application of minimally invasive techniques for circumferential reconstruction in spinal gout.
Conclusion:
The case demonstrates the efficacy of minimally invasive surgical techniques in managing spinal deformities secondary to gout and contributes to the understanding of treatment strategies for this rare condition.
Researchers compare personalized versus standard prehabilitation and examine functional, immune, and postoperative outcomes before major elective surgery.
SpineLine has named Hao-Hua Wu, MD to its 2025 20-Under-40 list, highlighting him as one of the nation’s rising leaders shaping the future of spine care.
