Progressive symptomatic kyphotic deformity after decompressive surgery for lumbar destructive spondyloarthropathy.
Destructive spondyloarthropathy (DSA) is a serious complication of haemodialysis for end stage renal failure. We present a case of a patient who complained of back pain and cruralgia due to L2-3 disc degeneration with instability, and was treated with posterior decompression and bone grafting. Soon after surgery, the kyphotic deformity progressed and the symptoms deteriorated. A correction of the deformity and posterior fusion was required six years after initial surgery. Pathological findings showed characteristic findings of DSA. Our findings indicate that in some cases with unstable DSA, spinal decompression as well as spinal fixation may be necessary.
Kamimura
Mikio
M
Suwa Red Cross Hospital, Department of Orthopaedic Surgery, Nagano 392-8510, Japan. mikamimura@hotmail.com
Nakagawa
Hiroyuki
H
Uchiyama
Shigeharu
S
Takahara
Kenji
K
Itsubo
Toshiro
T
Miyasaka
Tada-atsu
TA
D019299:Decompression, Surgical / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000209:etiology / Q000473:pathology; D008161:Lumbosacral Region; D008875:Middle Aged; D013122:Spinal Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D025242:Spondylarthropathies / Q000601:surgery*; D014057:Tomography, X-Ray Computed