title: Progressive symptomatic kyphotic deformity after decompressive surgery for lumbar destructive spondyloarthropathy.
abstract: 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.
authors.affiliation: Suwa Red Cross Hospital, Department of Orthopaedic Surgery, Nagano 392-8510, Japan. mikamimura@hotmail.com
authors.forename: Mikio
authors.initials: M
authors.lastname: Kamimura
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Nakagawa
authors.forename: Shigeharu
authors.initials: S
authors.lastname: Uchiyama
authors.forename: Kenji
authors.initials: K
authors.lastname: Takahara
authors.forename: Toshiro
authors.initials: T
authors.lastname: Itsubo
authors.forename: Tada-atsu
authors.initials: TA
authors.lastname: Miyasaka
mesh_terms: 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