Ko P J, Huang T J, Liao Y S, Hsueh S, Hsu R W
Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
Changgeng Yi Xue Za Zhi. 1996 Sep;19(3):272-6.
A 57-year-old man with severe gouty arthritis for over 20 years was admitted because of persistent back and leg pain and neurogenic claudication. Lumbar spinal stenosis from the L4 to L5 level was diagnosed after admission and decompressive laminectomy was done. However, about 10 months later, another surgery with laminectomy of L2 and L3 and postero-lateral fusion was performed due to post-laminectomy instability with recurrence of stenosis. The pathology of the resected ligmentum flava had tophi deposition. At the one-year follow-up examination after the second operation, the patient was pain free and had resumed daily activity.
一名患有严重痛风性关节炎20多年的57岁男性因持续的腰腿痛和神经源性间歇性跛行入院。入院后诊断为L4至L5水平的腰椎管狭窄症，并进行了减压椎板切除术。然而，约10个月后，由于椎板切除术后不稳定伴狭窄复发，再次进行了L2和L3椎板切除及后外侧融合手术。切除的黄韧带病理检查有痛风石沉积。第二次手术后一年的随访检查中，患者无疼痛，已恢复日常活动。
