Unilateral biportal endoscopic decompression for thoracic intraspinal gout with ossified ligamentum flavum: a case report and literature review - Takeaways - MDSpire

Unilateral biportal endoscopic decompression for thoracic intraspinal gout with ossified ligamentum flavum: a case report and literature review

  • By

  • Zhong, Fangling

  • Huang, Chenxing

  • Feng, Xiaoteng

  • Cheng, Zhaojun

  • Su, Wenjing

  • Weibo, Yu

  • Ren, Hui

  • Chen, Binwei

  • Jiang, Xiaobing

  • May 19, 2026

  • 0 min

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  • 1

    Intraspinal tophaceous gout can cause severe neurological deficits due to spinal cord compression.

  • 2

    The case involved a 50-year-old man with thoracic spinal stenosis from ossified ligamentum flavum and epidural gout.

  • 3

    Unilateral biportal endoscopy was used for decompression and percutaneous pedicle screw fixation.

  • 4

    Histological analysis confirmed the presence of monosodium urate deposits in the epidural space.

  • 5

    The patient showed significant symptom resolution and functional recovery one year after the procedure.

Original Source(s)

Unilateral biportal endoscopic decompression for thoracic intraspinal gout with ossified ligamentum flavum: a case report and literature review

  • by Zhong, Fangling , Huang, Chenxing , Feng, Xiaoteng , Cheng, Zhaojun , Su, Wenjing , Weibo, Yu , Ren, Hui , Chen, Binwei , Jiang, Xiaobing

  • May 19, 2026

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