■脊柱痛风,一种罕见且经常未被诊断的疾病,显著影响患者的生活质量。因此,这项研究的目的是分析脊髓痛风的病例,包括临床特征,脊柱痛风的解剖位置,实验室研究,影像学检查,治疗选择,以及各种脊髓痛风病例的结果。
■作者在2013年至2023年的PUBMED和ScienceDirect数据库中进行了系统的文献检索。我们纳入了成人脊柱病例的临床病例报告,用英语出版。三位研究者独立回顾了每篇文章的标题和摘要,任何意见分歧都是通过协商一致解决的。随后对提取的数据进行描述性分析。
■共获得并研究了88例脊髓痛风。在所有的脊柱痛风病例中,89.77%的受试者为男性,平均年龄为51.9岁(年龄范围16-87岁)。常见症状包括背部/颈部疼痛(78.41%)和下肢无力(37.50%)。腰椎是最常受累的区域(62.50%),主要通过磁共振成像(MRI)扫描诊断。手术,61.36%的病例执行,通常涉及减压椎板切除术。后处理,87.50%的病例症状缓解。
■有多种症状的脊髓痛风病例,包括背痛和虚弱.诊断通常涉及MRI检查和滑液分析以进行确认。治疗各不相同,包括药物治疗和手术干预。对这些病例的更深入了解可以帮助医疗保健从业人员管理和诊断脊髓痛风病例。
UNASSIGNED: Spinal gout, a rare and often underdiagnosed condition, significantly impacts patients\' quality of life. Therefore, the aim of the research is to analyze cases of spinal gout, including clinical features, anatomical location of spinal gout, laboratory studies, imaging studies, treatment choices, and outcomes from various cases of spinal gout.
UNASSIGNED: The author conducted a systematic literature search in the PUBMED and Science Direct databases from 2013 to 2023. We included clinical case presentations of spinal cases in adults, published in English. The three researchers independently reviewed the title and abstract of each article, and any differences in opinions were resolved through consensus. The extracted data were subsequently analyzed descriptively.
UNASSIGNED: A total of 88 cases of spinal gout were obtained and studied. Out of the total reviewed cases of spinal gout, 89.77% of the subjects were male, with an average age of 51.9 years (age range 16-87 years). Common symptoms include back/neck pain (78.41%) and lower extremity weakness (37.50%). The lumbar spine is the most frequently affected region (62.50%), diagnosed primarily through magnetic resonance imaging (MRI) scans. Surgery, performed in 61.36% of cases, commonly involves decompressive laminectomy. Posttreatment, symptoms resolve in 87.50% of cases.
UNASSIGNED: Cases of spinal gout present with a variety of symptoms, including back pain and weakness. Diagnosis typically involves an MRI examination and synovial fluid analysis for confirmation. Treatment varies and includes medication therapy and surgical interventions. A deeper understanding of these cases can assist healthcare practitioners in the management and diagnosis of spinal gout cases.