Surgical Management in Spinal Sarcoidosis
| Autor: | Carlo Brembilla, Antonio Signorelli, Francesco Biroli, Claudio Lamartina |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Progressive neurologic deterioration Sarcoidosis Anti-Inflammatory Agents Posterior stabilization Postoperative Complications Rare case Humans Medicine Orthopedics and Sports Medicine Polyradiculopathy Paraplegia Vertebroplasty Lumbar Vertebrae business.industry Spinal instability Decompression Surgical medicine.disease Magnetic Resonance Imaging Internal Fixators Nonoperative treatment Surgery Spinal Fusion Treatment Outcome Scoliosis ddc: 610 Vertebrectomy Spinal Diseases Steroids Neurology (clinical) Tomography X-Ray Computed business Spinal Canal |
| Zdroj: | 59. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 3. Joint Meeting mit der Italienischen Gesellschaft für Neurochirurgie (SINch); 20080601-20080604; Würzburg; DOCP 044 /20080530/ |
| ISSN: | 0362-2436 |
| DOI: | 10.1097/brs.0b013e318191e7ad |
| Popis: | STUDY DESIGN Case report of a patient with transient paraplegia and spine instability because of sarcoidosis of 2 vertebral bodies. OBJECTIVES To report a rare case of vertebral sarcoidosis accompanied by transient neurologic symptoms and spine instability, and to discuss the diagnostic and therapeutic management. SUMMARY OF BACKGROUND DATA Vertebral sarcoidosis is a rare condition, and only a few case reports exist in the literature. In most cases, treatment with steroids improves associated neurologic symptoms. Operative intervention is necessary in cases with spinal instability because of progressive vertebral destruction and impending or progressive neurologic deterioration. METHODS After steroids therapy and subsequent neurologic improvement, operative treatment by a 2-stage posterior stabilization followed by anterior vertebrectomy and fusion was given to a patient with 2-level vertebral sarcoidosis and residual spine instability. RESULTS After steroids therapy, the patient had a complete neurologic recovery; satisfactory spinal stability was achieved after surgery. CONCLUSION In the absence of any spinal instability, neurologic symptoms associated with vertebral sarcoidosis respond satisfactorily to nonoperative treatment with steroids. Progressive neurologic deterioration or spinal instability caused by bone destruction requires operative intervention. Steroids therapy provided neurologic improvement, posterior stabilization combined with anterior vertebrectomy and fusion provided spine stability for the patient in this report. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|