软组织钙化是各种疾病患者的常见病,比如恶性肿瘤,胶原蛋白疾病,创伤,和慢性肾病。这些病变中的大多数没有临床意义;然而,它们可以在有限的空间内引起特定的疾病,比如椎管。这里,我们报道了一例因退行性腰椎滑脱和多发性椎管内钙化伴银屑病关节炎(PsA)而接受腰椎管狭窄症融合手术的患者.一名55岁女性患者出现左腿疼痛和间歇性跛行1个月。一年前,她被诊断出患有PsA,并接受了门诊治疗,包括生物药物,在风湿病科,我们机构的内科。她被提到我们部门,放射学检查显示腰椎管狭窄是由腰椎滑脱和腰椎管多发钙化引起的。我们进行了腰椎后路椎间融合术(PLIF),并进行了经皮椎弓根螺钉固定,同时清除了钙化。术后进展顺利,她的神经症状改善了.尽管以前的一些病例报告已经注意到由于胶原蛋白疾病或慢性肾脏疾病引起的椎管内钙化,与PsA相关的钙化很少见。我们通过复习以往的相关文献,讨论PsA的诊断及其与椎管内钙化的关系。
Soft tissue calcifications are common findings in patients with various diseases, such as malignant tumors, collagen diseases, trauma, and chronic kidney disease. The majority of these lesions are not clinically significant; however, they can cause specific disorders within a limited space, such as the spinal canal. Here, we report the
case of a patient undergoing fusion surgery for lumbar canal stenosis due to degenerative spondylolisthesis and multiple intraspinal canal calcifications associated with psoriatic arthritis (PsA). A 55-year-old female patient presented with pain in the left leg and intermittent claudication for 1 month. One year ago, she was diagnosed with PsA and received outpatient treatment, including biological medication, at the Division of Rheumatology, Department of Internal Medicine of our institution. She was referred to our department, and radiological examination revealed lumbar canal stenosis caused by spondylolisthesis and multiple calcifications in the lumbar spinal canal. We performed posterior lumbar interbody fusion (PLIF) with percutaneous pedicle screw fixation concomitant with removal of the calcifications. The postoperative course was uneventful, and her neurological symptoms improved. Although several prior
case reports have noted intraspinal canal calcifications due to collagen disease or chronic kidney disease, calcifications associated with PsA are rare. We discuss the diagnosis of PsA and its relationship with intraspinal canal calcifications by reviewing the previous relevant literature.