Spinal Gout: A Comprehensive Review of Clinical Features, Diagnostic Challenges, and Management Strategies in Spinal Gout
Journal of Clinical Orthopaedics | Vol 9 | Issue 2 | July-December 2024 | page: 35-37 | Sachin Kale, Arvind Vatkar, Sanjay Dhar, Pramod Bhor, Ashish Phadnis, Prakash Samant, Shivam Mehra
DOI: https://doi.org/10.13107/jcorth.2024.v09i02.656
Submitted Date: 01 Aug 2024, Review Date: 28 Sep 2024, Accepted Date: 12 Oct 2024 & Published Date: 10 Dec 2024
Author: Sachin Kale [1], Arvind Vatkar [2], Sanjay Dhar [1], Pramod Bhor [3], Ashish Phadnis [4], Prakash Samant [1], Shivam Mehra [5]
[1] Department of Orthopaedics, D.Y Patil School of Medicine and Hospital, Navi Mumbai, Maharashtra, India,
[2] Department of Orthopaedics, MGM Medical College, Navi Mumbai, Maharashtra, India,
[3] Department of Orthopaedics, Fortis Hiranandani Hospital, Mumbai, Maharashtra, India,
[4] Department of Orthopaedics, Jupiter Hospital, Thane, Maharashtra, India.[5] Mehra Hospital and Research Institute, Lucknow, Uttar Pradesh, India,
Address of Correspondence
Dr. Arvind Vatkar,
Department of Orthopaedics, MGM Medical College, Navi Mumbai, Maharashtra, India.
E-mail: vatkararvind@gmail.com
Abstract
Spinal gout is an uncommon form of gout that is distinguished by the deposition of monosodium urate (MSU) crystals in the spine, resulting in severe pain and potential neurological impairments. Despite its rarity, spinal gout can be difficult to diagnose because of its vague symptoms and similarities to other spinal illnesses. This study delves into the epidemiology, clinical aspects, and diagnostic problems of spinal gout, focusing on the Indian setting. Diagnostic methods such as X-ray, computed tomography (CT), and magnetic resonance imaging are investigated, with a focus on dual-energy CT for identifying MSU deposits. The treatment options vary from conservative maintenance with non-steroidal anti-inflammatory drugs and urate-lowering medication to surgical intervention in situations of neurological damage.
Keywords: Spinal gout, tophaceous gout, lumbar spine, diagnostic challenges, hyperuricemia.
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| How to Cite this article: Kale S, Vatkar A, Dhar S, Bhor P, Phadnis A, Samant P, Mehra S. Spinal Gout: A Comprehensive Review of Clinical Features, Diagnostic Challenges, and Management Strategies in Spinal Gout. Journal of Clinical Orthopaedics July-December 2024;9(2):35-37. |
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