Gout in the Spine: Imaging, Diagnosis, and Outcomes
Author:
Publisher
Springer Science and Business Media LLC
Subject
Rheumatology
Link
http://link.springer.com/content/pdf/10.1007/s11926-015-0547-7.pdf
Reference132 articles.
1. Zhu Y, Pandya BJ, Choi HK. Prevalence of gout and hyperuricemia in the US general population: the National Health and Nutrition Examination Survey 2007–2008. Arthritis Rheum. 2011;63:3136–41.
2. Kersley GD, Mandel L, Jeffrey MR. Gout: an unusual case with softening and subluxation of the first cervical vertebra and splenomegaly. Ann Rheum Dis. 1950;9:282–304.
3. Hou LC, Hsu AR, Veeravagu A, Boakye M. Spinal gout in a renal transplant patient: a case report and literature review. Surg Neurol. 2007;67:65–73. Case report with a literature review of axial gout. In addition to quite large number of cases reviewed, also provided a useful algorithm for approaching a patient with suspected spinal gout. The authors of this study recommended surgical intervention in all patients with neurological symptoms. They also believed that for patients without neurological symptoms, initial workup with MRI followed by biopsy for diagnosis.
4. Konatalapalli RM, Demarco PJ, Jelinek JS, et al. Gout in the axial skeleton. J Rheumatol. 2009;36:609–13. Review of medical records of gout patients looking at those who had CT images of the spine for any reason in the past. Results showed that 9 of 64 (14%) patients had evidence of axial gout on spinal CT. However, only one of those 9 cases had gotten a CT for back pain, raising the question of how common asymptomatic spinal gout may be.
5. Saketkoo LA, Robertson HJ, Dyer HR, Virk ZU, Ferreyro HR, Espinoza LR. Axial gouty arthropathy. Am J Med Sci. 2009;338:140–6.
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