Spontaneous Symptomatic Pseudoarthrosis at the L2-L3 Intervertebral Space with Diffuse Idiopathic Skeletal Hyperostosis: A Case Report
Pseudoarthrosis at the intervertebral space in patients with ankylosing spondylitis has occasionally been reported, but symptomatic pseudoarthrosis at the intervertebral disc level is rare in patients with diffuse idiopathic skeletal hyperostosis (DISH). Here, we report a case of symptomatic pseudoa...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2013/497458 |
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| author | Keiji Hasegawa Hiroshi Takahashi Yasuaki Iida Yuichirou Yokoyama Katsunori Fukutake Ryo Takamatsu Kazumasa Nakamura Daisuke Suzuki Wataru Shishikura Shintaro Tsuge Masayuki Sekiguchi Akihito Wada |
| author_facet | Keiji Hasegawa Hiroshi Takahashi Yasuaki Iida Yuichirou Yokoyama Katsunori Fukutake Ryo Takamatsu Kazumasa Nakamura Daisuke Suzuki Wataru Shishikura Shintaro Tsuge Masayuki Sekiguchi Akihito Wada |
| author_sort | Keiji Hasegawa |
| collection | DOAJ |
| description | Pseudoarthrosis at the intervertebral space in patients with ankylosing spondylitis has occasionally been reported, but symptomatic pseudoarthrosis at the intervertebral disc level is rare in patients with diffuse idiopathic skeletal hyperostosis (DISH). Here, we report a case of symptomatic pseudoarthrosis at the L2-L3 intervertebral space that was diagnosed based on clinical history. We first performed L1–L5 fixation, but back-out of the pedicle screw occurred in the early postoperative phase and may have been caused by a short fixation range and concomitant Parkinson’s disease. However, the prognosis of the case was favorable after a second surgery. This case indicates that a fixation range of at least 3 above and 3 below is necessary for bone fracture of a thoracolumbar vertebra and pseudoarthrosis in patients with DISH. |
| format | Article |
| id | doaj-art-fda018dfc8774fb8b30b2ce5b52b8218 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-fda018dfc8774fb8b30b2ce5b52b82182025-02-03T01:11:26ZengWileyCase Reports in Orthopedics2090-67492090-67572013-01-01201310.1155/2013/497458497458Spontaneous Symptomatic Pseudoarthrosis at the L2-L3 Intervertebral Space with Diffuse Idiopathic Skeletal Hyperostosis: A Case ReportKeiji Hasegawa0Hiroshi Takahashi1Yasuaki Iida2Yuichirou Yokoyama3Katsunori Fukutake4Ryo Takamatsu5Kazumasa Nakamura6Daisuke Suzuki7Wataru Shishikura8Shintaro Tsuge9Masayuki Sekiguchi10Akihito Wada11Department of Orthopaedic Surgery, Toho University School of Medicine, 6-11-1 Omori-Nishi Ota-ku, Tokyo 143-8541, JapanDepartment of Orthopaedic Surgery, Toho University School of Medicine, 6-11-1 Omori-Nishi Ota-ku, Tokyo 143-8541, JapanDepartment of Orthopaedic Surgery, Toho University School of Medicine, 6-11-1 Omori-Nishi Ota-ku, Tokyo 143-8541, JapanDepartment of Orthopaedic Surgery, Toho University School of Medicine, 6-11-1 Omori-Nishi Ota-ku, Tokyo 143-8541, JapanDepartment of Orthopaedic Surgery, Toho University School of Medicine, 6-11-1 Omori-Nishi Ota-ku, Tokyo 143-8541, JapanDepartment of Orthopaedic Surgery, Toho University School of Medicine, 6-11-1 Omori-Nishi Ota-ku, Tokyo 143-8541, JapanDepartment of Orthopaedic Surgery, Toho University School of Medicine, 6-11-1 Omori-Nishi Ota-ku, Tokyo 143-8541, JapanDepartment of Orthopaedic Surgery, Toho University School of Medicine, 6-11-1 Omori-Nishi Ota-ku, Tokyo 143-8541, JapanDepartment of Orthopaedic Surgery, Toho University School of Medicine, 6-11-1 Omori-Nishi Ota-ku, Tokyo 143-8541, JapanDepartment of Orthopaedic Surgery, Toho University School of Medicine, 6-11-1 Omori-Nishi Ota-ku, Tokyo 143-8541, JapanDepartment of Orthopaedic Surgery, Toho University School of Medicine, 6-11-1 Omori-Nishi Ota-ku, Tokyo 143-8541, JapanDepartment of Orthopaedic Surgery, Toho University School of Medicine, 6-11-1 Omori-Nishi Ota-ku, Tokyo 143-8541, JapanPseudoarthrosis at the intervertebral space in patients with ankylosing spondylitis has occasionally been reported, but symptomatic pseudoarthrosis at the intervertebral disc level is rare in patients with diffuse idiopathic skeletal hyperostosis (DISH). Here, we report a case of symptomatic pseudoarthrosis at the L2-L3 intervertebral space that was diagnosed based on clinical history. We first performed L1–L5 fixation, but back-out of the pedicle screw occurred in the early postoperative phase and may have been caused by a short fixation range and concomitant Parkinson’s disease. However, the prognosis of the case was favorable after a second surgery. This case indicates that a fixation range of at least 3 above and 3 below is necessary for bone fracture of a thoracolumbar vertebra and pseudoarthrosis in patients with DISH.http://dx.doi.org/10.1155/2013/497458 |
| spellingShingle | Keiji Hasegawa Hiroshi Takahashi Yasuaki Iida Yuichirou Yokoyama Katsunori Fukutake Ryo Takamatsu Kazumasa Nakamura Daisuke Suzuki Wataru Shishikura Shintaro Tsuge Masayuki Sekiguchi Akihito Wada Spontaneous Symptomatic Pseudoarthrosis at the L2-L3 Intervertebral Space with Diffuse Idiopathic Skeletal Hyperostosis: A Case Report Case Reports in Orthopedics |
| title | Spontaneous Symptomatic Pseudoarthrosis at the L2-L3 Intervertebral Space with Diffuse Idiopathic Skeletal Hyperostosis: A Case Report |
| title_full | Spontaneous Symptomatic Pseudoarthrosis at the L2-L3 Intervertebral Space with Diffuse Idiopathic Skeletal Hyperostosis: A Case Report |
| title_fullStr | Spontaneous Symptomatic Pseudoarthrosis at the L2-L3 Intervertebral Space with Diffuse Idiopathic Skeletal Hyperostosis: A Case Report |
| title_full_unstemmed | Spontaneous Symptomatic Pseudoarthrosis at the L2-L3 Intervertebral Space with Diffuse Idiopathic Skeletal Hyperostosis: A Case Report |
| title_short | Spontaneous Symptomatic Pseudoarthrosis at the L2-L3 Intervertebral Space with Diffuse Idiopathic Skeletal Hyperostosis: A Case Report |
| title_sort | spontaneous symptomatic pseudoarthrosis at the l2 l3 intervertebral space with diffuse idiopathic skeletal hyperostosis a case report |
| url | http://dx.doi.org/10.1155/2013/497458 |
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