Surgical Management for Destructive Atlantoaxial Spondyloarthropathy in Long-Term Hemodialysis Patients
- Authors
- Jeong, Je Hoon; Kim, Hee Kyung; Im, Soo Bin
- Issue Date
- Jan-2017
- Publisher
- Elsevier BV
- Keywords
- Hemodialysis; Spondyloarthropathy; Surgical management
- Citation
- World Neurosurgery, v.97
- Journal Title
- World Neurosurgery
- Volume
- 97
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/7916
- DOI
- 10.1016/j.wneu.2016.10.054
- ISSN
- 1878-8750
1878-8769
- Abstract
- BACKGROUND: Atlantoaxial spondyloarthropathy most often results from rheumatoid arthritis, cancer metastasis, or basilar invagination. Dialysis-related spondyloarthropathy is a rare cause of spinal deformity and cervical myelopathy at the atlantoaxial joint. We report 2 patients on long-term hemodialysis who presented with atlantoaxial spondyloarthropathy. CASE DESCRIPTION: Two patients with end-stage renal failure presented with a history of progressively worsening neck pain, motion limitation, and gait disturbance. In both patients, radiologic findings showed a bone-destroying soft tissue mass lateral to C1 and C2, compressing the spinal cord and causing atlantoaxial instability. We performed a C1 laminectomy and C12 transarticular screw fixation and biopsied the osteolytic mass. The neck pain, hand numbness, and gait disturbance improved. CONCLUSIONS: Although the surgical management of these patients involves many challenges, appropriate decompression and fusion surgery is an effective treatment option.
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Collections - College of Medicine > Department of Pathology > 1. Journal Articles
- College of Medicine > Department of Neurosurgery > 1. Journal Articles
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