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Research ArticleArticles

Minimally Invasive Excision of Lumbar Tophaceous Gout: Case Report

Pierluigi Vergara and Dominic G O'Donovan
International Journal of Spine Surgery January 2017, 11 (5) 37; DOI: https://doi.org/10.14444/4037
Pierluigi Vergara
1Department of Neurosurgery, Addenbrooke’s Hospital, Cambridge University Hospital, Cambridge, UK
MD FRCS
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Dominic G O'Donovan
2Department of Histopathology, Addenbrooke’s Hospital, Cambridge University Hospital, Cambridge, UK
MBChB FRCPath
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    Fig. 1

    Sagittal (A) and axial (B) CT-myelogram showing severe lumabr canal stenosis at L3/4, with complete obliteration of the canal, and moderate stenosis at L2/3.

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    Fig. 2

    Histopathology section (x20) showing fibrous tissue with pools of amorphous debris with a foreign body giant cell reaction. Due to processing the crystals are not visible and polarisation is negative. Nevertheless, this is typical of urate gout.

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International Journal of Spine Surgery
Vol. 11, Issue 5
1 Jan 2017
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Minimally Invasive Excision of Lumbar Tophaceous Gout: Case Report
Pierluigi Vergara, Dominic G O'Donovan
International Journal of Spine Surgery Jan 2017, 11 (5) 37; DOI: 10.14444/4037

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Minimally Invasive Excision of Lumbar Tophaceous Gout: Case Report
Pierluigi Vergara, Dominic G O'Donovan
International Journal of Spine Surgery Jan 2017, 11 (5) 37; DOI: 10.14444/4037
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Keywords

  • tophaceous gout
  • tophi
  • minimally invasive
  • spine
  • lumbar

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