Spinal cord compression in renal osteodystrophy.
A patient undergoing regular haemodialysis for chronic renal insufficiency developed neck pain followed by progressive spinal cord compression due to subluxation at the level C3-4. Decompression, laminectomy and osteosynthesis led to an almost complete recovery. A review of all the histological specimens suggested that hyperparathyroidism and not amyloidosis caused the vertebral destruction.
Macfarlane
J D
JD
Department of Rheumatology and Neurosurgery, University Hospital, Leiden, Netherlands.
Minhas
A
A
Han
K S
KS
Boekhout
M
M
D012080:Chronic Kidney Disease-Mineral and Bone Disorder / Q000150:complications*; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000150:complications; D004204:Joint Dislocations / Q000150:complications*; D007676:Kidney Failure, Chronic / Q000628:therapy; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009984:Orthopedic Fixation Devices; D006435:Renal Dialysis / Q000009:adverse effects; D013117:Spinal Cord Compression / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013131:Spine; D014057:Tomography, X-Ray Computed