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"Seung-Hwan Lee"

Case Report

Tophaceous Gout in the Lumbar Spinal Canal Mimicking Epidural Spinal Tumor
Taeshin Kim, Bum-Joon Kim, Se-Hoon Kim, Seung-Hwan Lee
Korean J Spine 2017;14(2):50-52.   Published online June 30, 2017
DOI: https://doi.org/10.14245/kjs.2017.14.2.50

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Tophaceous Gout in the Lumbar Spinal Canal Mimicking Epidural Spinal Tumor
Korean J Spine. 2017;14(2):50-52.   Published online June 30, 2017
DOI: https://doi.org/10.14245/kjs.2017.14.2.50
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Tophaceous Gout in the Lumbar Spinal Canal Mimicking Epidural Spinal Tumor
Korean J Spine. 2017;14(2):50-52.   Published online June 30, 2017
DOI: https://doi.org/10.14245/kjs.2017.14.2.50
Close
Gout is an inflammatory arthritis characterized by deposition of monosodium urate crystals in joints. Though gout frequently involves the big toe or other extremities, it rarely occurs in the spinal canal. A 35-year-old man presented with left L5 radiculopathy. He had leg pain for 8 months and received several epidural steroid injections. Magnetic resonance imaging revealed a 1.7×1.1-cm ovoid contrast-enhancing mass, causing pressure erosion of the left L5 pedicle. Microscopic laminotomy was performed at the left L5 lamina. White chalky materials, identified at the left lateral recess of the spinal canal, were removed in a piecemeal manner. The histopathologic diagnosis was tophaceous gout. Although the patient’s radiating pain did not resolve postoperatively, it was dramatically relieved with uric acid-lowering medications. If a mass effect is suspected, surgical removal of gouty tophi might aid in symptom release and definite diagnosis. Medical treatment after rheumatology consultation is crucial.

Citations

Citations to this article as recorded by  Crossref logo
  • A Rare Case Report of an Adult With Intraspinal Gouty Stones and Concurrent Knee Joint Involvement
    Bo Cao, Jinlong Wang
    Clinical Case Reports.2025;[Epub]     CrossRef
  • Understanding spinal gout: A comprehensive study of 88 cases and their clinical implications
    Tommy Alfandy Nazwar, Farhad Bal’afif, Donny Wisnu Wardhana, Christin Panjaitan
    Journal of Craniovertebral Junction and Spine.2024; 15(2): 133.     CrossRef
  • Chronic pyogenic spondylitis in patients with spinal gout: a case series and literature review
    Arkadiy A. Vishnevskiy, Denis G. Naumov, Mikhail M. Shchelkunov, Tatiana A. Novitskaya
    Traumatology and Orthopedics of Russia.2024; 30(2): 168.     CrossRef
  • A unique presentation of acute tophaceous gout in the lumbar spine causing cauda equina syndrome
    Esther Tan Wan Xian, Shawn Kok Shi Xian, Yeap Phey Ming
    Radiology Case Reports.2023; 18(9): 3341.     CrossRef
  • Crystal Diseases of the Spine
    Anne Cotten, Simon Henry, Laura Scarciolla, Ralph Abou Diwan, Xavier Demondion, Sammy Badr
    Seminars in Musculoskeletal Radiology.2023; 27(05): 545.     CrossRef
  • Spinal gout with intervertebral foramen infiltration: A rare case perfectly mimicking degenerative lumbar disc disease
    Fangke Hu, Lu Xue, Dong Zhao, Chao Chen, Gang Liu, Qiang Yang
    Experimental and Therapeutic Medicine.2023;[Epub]     CrossRef
  • A case report of upper tibial gout stones resulting in bone destruction
    Jinke Ji, Caili Lou, Hongbao Ma, Jian Liu, Linan Wang, Zhibo Ren, Zongqiang Yang, Jiandang Shi, Ningkui Niu
    Medicine: Case Reports and Study Protocols.2022; 3(9): e0256.     CrossRef
  • Beyond Medical Treatment: Surgical Treatment of Gout
    Jonathan Carcione, Shari Bodofsky, Brian LaMoreaux, Naomi Schlesinger
    Current Rheumatology Reports.2021;[Epub]     CrossRef
  • Differential Diagnosis of Facet Joint Disorders
    Julia E. C. Anaya, Silmara R. N. Coelho, Atul K. Taneja, Fabiano N. Cardoso, Abdalla Y. Skaf, André Y. Aihara
    RadioGraphics.2021; 41(2): 543.     CrossRef
  • Spinal gouty tophus presenting as an epidural mass lesion - A case report
    Chi-Man Yip, Huai-Pao Lee
    International Journal of Surgery Case Reports.2021; 84: 106063.     CrossRef
  • Percutaneous transforaminal endoscopic decompression for the treatment of intraspinal tophaceous gout
    Xinji Chen, Guokang Xu, Qingfeng Hu, Tingxiao Zhao, Qing Bi, Yazeng Huang, Haiyu Shao, Jun Zhang
    Medicine.2020; 99(21): e20125.     CrossRef
  • Tophaceous hip gouty arthritis revealing asymptomatic axial gout
    Rawdha Tekaya, Aicha Ben Tekaya, Olfa Saidane, Hanen Ben Said, Ali Gaja, Hana Sahli, Ines Mahmoud, Leila Abdelmoula
    The Egyptian Rheumatologist.2018; 40(3): 209.     CrossRef
  • 12,590 View
  • 165 Download
  • 12 Crossref

Clinical Articles

Clinical Results of Odontoid Fractures according to a Modified, Treatment-Oriented Classification
Eui-Jin Cho, Se-Hoon Kim, Won-Hyung Kim, Sung-Won Jin, Seung-Hwan Lee, Bum-Joon Kim, Sung-Gon Ha, Sang-Dae Kim, Dong-Jun Lim
Korean J Spine 2017;14(2):44-49.   Published online June 30, 2017
DOI: https://doi.org/10.14245/kjs.2017.14.2.44

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Clinical Results of Odontoid Fractures according to a Modified, Treatment-Oriented Classification
Korean J Spine. 2017;14(2):44-49.   Published online June 30, 2017
DOI: https://doi.org/10.14245/kjs.2017.14.2.44
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Clinical Results of Odontoid Fractures according to a Modified, Treatment-Oriented Classification
Korean J Spine. 2017;14(2):44-49.   Published online June 30, 2017
DOI: https://doi.org/10.14245/kjs.2017.14.2.44
Close
Objective
Odontoid fracture is common in cervical injury, representing about 20% of total cervical fractures. Classic odontoid fracture classification focused on anatomy of fracture site has no treatment recommendation and a modified treatment-oriented classification of odontoid fracture was suggested in 2005. We reviewed our odontoid fracture patients to assess the feasibility and efficacy of Grauer’s classification. Methods: Between October 2000 and September 2015, we collected data from patients who came to our institute for odontoid fracture. Demographic data of patients was reviewed, and neck visual analog scale (VAS) score and fusion rate were assessed by reviewing electronic medical records retrospectively. Results: Sixty-nine patients out of a total of eighty two odontoid fracture patients were reviewed according to Grauer’s classification. Neck VAS of all subtypes in odontoid fracture classification were decreased at last follow-up (p=0.001). Overall fusion rate was 88.4% at last follow-up. Concordance rate between Grauer’s recommendation and our treatment was 69.9%, especially in type II with the concordance higher than 80%. Complication was minimal representing 7.2%, only in types I and III. Conclusion: In this study, there were statistically significant improvement in all subtypes in terms of neck VAS at the last follow up, especially in types II and III. Grauer’s classification appears to be meaningful to decide treatment plan for odontoid fractures, especially type II odontoid fracture.

Citations

Citations to this article as recorded by  Crossref logo
  • Computed Tomography-Based Morphometric Analysis of the Odontoid Groove: An Indirect Marker for Transverse Atlantal Ligament Location
    Vandan Raiyani, Ashutosh Kumar, Pooja Tataskar, Devanshu Misra, Pawan Kumar Verma, Kamlesh S. Bhaisora, Anant Mehrotra, Arun K. Srivastava, Awadhesh Jaiswal
    Indian Journal of Neurosurgery.2026;[Epub]     CrossRef
  • Validating the Hierarchical Nature of the AO Spine Upper Cervical Spine Injury Classification System
    Rajkishen Narayanan, Jonathan Dalton, Richard Bransford, Marcel R. Dvorak, Harvinder Singh Chhabra, Andrei F. Joaquim, Mohammad El-Sharkawi, Lorin M. Benneker, Klaus Schnake, Cumhur Oner, Charlotte Dandurand, Jose A. Canseco, Christopher K. Kepler, Alexan
    Spine.2025; 50(14): 956.     CrossRef
  • 頚椎脱臼骨折 椎骨動脈閉塞例の治療戦略
    Masahiro Aoyama, Nobuyuki Shimokawa, Tomoo Inoue, Masao Umegaki, Yusuke Nishimura, Gohsuke Hattori
    Spinal Surgery.2024; 38(1): 22.     CrossRef
  • Fractura de odontoides en un paciente anciano
    M. Antonia Lafarga Giribets, Ester Andreu Mayor, Pablo Gállego Nicolás, Eduard Peñascal Pujol
    Atención Primaria Práctica.2022; 4(2): 100136.     CrossRef
  • Favorable prognosis with nonsurgical management of type III acute odontoid fractures: a consecutive series of 212 patients
    Syed Ali Mujtaba Rizvi, Eirik Helseth, Mads Aarhus, Marianne Efskind Harr, Jalal Mirzamohammadi, Pål Rønning, Magnus Mejlænder-Evjensvold, Hege Linnerud
    The Spine Journal.2021; 21(7): 1149.     CrossRef
  • The use of Grauer classification in the management of type II odontoid fracture in elderly: Prognostic factors and outcome analysis in a single centre patient series
    Fabio Moscolo, Pietro Meneghelli, Alessandro Boaro, Antonio Impusino, Francesca Locatelli, Franco Chioffi, Francesco Sala
    Journal of Clinical Neuroscience.2021; 89: 26.     CrossRef
  • Proposal of New Radiological Classification and Treatment Strategy for Transverse Fractures of the C2 Axis Body
    Sung‐Kyu Kim, Jong‐Hyun Ko, Jong‐Beom Park, Hyoung‐Yeon Seo, Dong‐Gune Chang, Kibong Chang
    Orthopaedic Surgery.2021; 13(4): 1378.     CrossRef
  • Upper Cervical Spine Trauma: WFNS Spine Committee Recommendations
    Oscar L. Alves, Leopoldina Pereira, Se-Hoon Kim, Andrey Grin, Nobuyuki Shimokawa, Nikolay Konovalov, Mehemet Zileli
    Neurospine.2020; 17(4): 723.     CrossRef
  • C1-C2 fractures in asymptomatic elderly patients with minor head trauma: evaluation with a dedicated head CT protocol
    Silvia Squarza, Carla Luisa Uggetti, Marco Angelo Politi, Lorenzo Carlo Pescatori, Raffaele Bisogno, Adriana Campi, Paolo Reganati, Maurizio Cariati
    Radiologia Brasileira.2019; 52(1): 17.     CrossRef
  • Comparison of clinical and radiological outcomes between modified Gallie graft fusion-wiring technique and posterior cervical screw constructs for Type II odontoid fractures
    Hui Wang, Rui Xue, Lumei Wu, Wenyuan Ding, Lei Ma
    Medicine.2018; 97(29): e11452.     CrossRef
  • 13,683 View
  • 227 Download
  • 10 Crossref
The Use of Gentamicin-Impregnated Collagen Sponge for Reducing Surgical Site Infection after Spine Surgery
Jin-Sol Han, Se-Hoon Kim, Sung-Won Jin, Seung-Hwan Lee, Bum-Joon Kim, Sang-Dae Kim, Dong-Jun Lim
Korean J Spine 2016;13(3):129-133.   Published online September 30, 2016
DOI: https://doi.org/10.14245/kjs.2016.13.3.129

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The Use of Gentamicin-Impregnated Collagen Sponge for Reducing Surgical Site Infection after Spine Surgery
Korean J Spine. 2016;13(3):129-133.   Published online September 30, 2016
DOI: https://doi.org/10.14245/kjs.2016.13.3.129
Download Citation

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The Use of Gentamicin-Impregnated Collagen Sponge for Reducing Surgical Site Infection after Spine Surgery
Korean J Spine. 2016;13(3):129-133.   Published online September 30, 2016
DOI: https://doi.org/10.14245/kjs.2016.13.3.129
Close
Objective

Surgical site infection (SSI) is the one of the most frequent complications in hospitalized patients, and it extends hospital stays and causes extra morbidities. To reduce SSI after spine surgery, we applied the gentamicin-impregnated collagen sponge (Collatamp G) during the operation and analyzed the results retrospectively.

Methods

Between October 2012 and December 2015, we collected data who applied the Collatamp G in spine surgery at a single institution. Demographic data of patients and another possible risk factors of SSI were also included, and we assessed the correlation between the risk factors and the developing of SSI by reviewing electronic medical records retrospectively.

Results

Three percent of all patients (10 of 280) developed the SSI and only 0.8% of patients who applied Collatamp G developed SSI (1 of 119). Otherwise, 5% of patients who did not apply Collatamp G developed SSI (9 of 161) (p=0.034). We also analyzed the correlation between SSI and other potential risk factors but nothings showed statistical correlation with SSI.

Conclusion

In this study, there were statistically significant results that SSI rate was decreased in the group of patients using Collatamp G in spine surgery generally. However, further studies are required to resolve some limitations in the future.

Citations

Citations to this article as recorded by  Crossref logo
  • Tiered Antibiotic Coverage Reduces Surgical Site Infection in Spine Surgery
    Stephen J. Warner, Richard DalCanto, Nathan Barber, Anthony Oyekan, Jeremy D. Shaw
    Montefiore Einstein Journal of Musculoskeletal Medicine and Surgery.2026;[Epub]     CrossRef
  • Nomogram for the prediction of surgical site infection following spinal surgery: a multicenter retrospective study
    Yang Sun, Qi Li, Pengfei Zhai, Rui Zhang, Hongguang Wang, Xiaoguang Tong
    Frontiers in Medicine.2026;[Epub]     CrossRef
  • Surgical and procedural antibiotic prophylaxis in the surgical ICU: an American Association for the Surgery of Trauma Critical Care Committee clinical consensus document
    Michael Steven Farrell, John Varujan Agapian, Rachel D Appelbaum, Dina M Filiberto, Rondi Gelbard, Jason Hoth, Randeep Jawa, Jordan Kirsch, Matthew E Kutcher, Eden Nohra, Abhijit Pathak, Jasmeet Paul, Bryce Robinson, Joseph Cuschieri, Deborah M Stein
    Trauma Surgery & Acute Care Open.2024; 9(1): e001305.     CrossRef
  • Advances in the antimicrobial treatment of osteomyelitis
    Chao Zhong, Yueming Wu, Haodong Lin, Runhui Liu
    Composites Part B: Engineering.2023; 249: 110428.     CrossRef
  • Vancomycin powder embedded in collagen sponge decreases the rate of prosthetic shoulder infection
    Raffaele Garofalo, Alberto Fontanarosa, Silvana De Giorgi, Nunzio Lassandro, Angelo De Crescenzo
    Journal of Shoulder and Elbow Surgery.2023; 32(8): 1638.     CrossRef
  • Risk factors for surgical site infection following spinal surgery
    Xinxin Zhang, Peng Liu, Jipeng You
    Medicine.2022; 101(8): e28836.     CrossRef
  • Postoperative Wundinfektionen – Zusammenfassung und Überblick
    Steffen Schulz, Markus Eichler, Marcus Rickert
    Die Wirbelsäule.2022; 06(04): 255.     CrossRef
  • A Preliminary Exploration of the Efficacy of Gentamicin Sponges in the Prevention and Treatment of Wound Infections
    Yongduo Li, Junlin Zhou
    Infection and Drug Resistance.2021; Volume 14: 2633.     CrossRef
  • Consensus on the Role of Antibiotic Use in SSI Following Spinal Surgery
    Christopher K. Kepler, Srikanth N. Divi, Glenn S. Russo, Anand H. Segar, Barrett S. Boody, Wesley H. Bronson, Daniel A. Tarazona, Elizabeth Cifuentes, Ali Asma, Matthew S. Galetta, Dhruv K.C. Goyal, Taolin Fang, Gregory D. Schroeder, Alexander R. Vaccaro
    Clinical Spine Surgery: A Spine Publication.2020; 33(3): E116.     CrossRef
  • Implantable antimicrobial biomaterials for local drug delivery in bone infection models
    Jeremy D. Caplin, Andrés J. García
    Acta Biomaterialia.2019; 93: 2.     CrossRef
  • Use of an amikacin‐infused collagen sponge concurrent with implant removal for treatment of tibial plateau leveling osteotomy surgical site infection in 31 cases
    Sylvia J. Lee, Steven W. Frederick, Alan R. Cross
    Veterinary Surgery.2019; 48(5): 700.     CrossRef
  • 11,528 View
  • 170 Download
  • 11 Crossref
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