Todd Nicholas L, McDermott Amber, Isla Alexander, Korpi Frederick P, Cochran Jeffrey
Orthopedic Surgery, Aultman Hospital, Canton, USA.
Orthopedic Trauma Surgery, Aultman Hospital, Canton, USA.
Cureus. 2024 Sep 25;16(9):e70198. doi: 10.7759/cureus.70198. eCollection 2024 Sep.
Calcium pyrophosphate disease (CPPD) is a commonly diagnosed crystal-induced disease that typically presents as acute monoarticular or oligoarticular arthritis. It is less commonly seen in the spine, and its clinical importance in this area is still relatively understudied. Isolated spinal CPPD is quite rare; a diagnosis of spinal CPPD is almost always accompanied by peripheral CPPD. We present two patients who were both being treated for breast cancer. They underwent spine surgery and were subsequently diagnosed with isolated CPPD of the spine by pathology specimens. Neither patient had a history of CPPD prior to the surgery. We hypothesize there is a potential link between breast cancer and its treatment and isolated spinal CPPD; however, more research and case reports are needed to begin making conclusions and understand the relevance.
焦磷酸钙疾病(CPPD)是一种常见的晶体诱导性疾病,通常表现为急性单关节或少关节关节炎。在脊柱中较少见,其在该部位的临床重要性仍相对研究不足。孤立性脊柱CPPD非常罕见;脊柱CPPD的诊断几乎总是伴有外周CPPD。我们报告两名正在接受乳腺癌治疗的患者。他们接受了脊柱手术,随后通过病理标本被诊断为孤立性脊柱CPPD。两名患者在手术前均无CPPD病史。我们推测乳腺癌及其治疗与孤立性脊柱CPPD之间可能存在联系;然而,需要更多的研究和病例报告才能得出结论并了解其相关性。