Spontaneous symptomatic pseudoarthrosis at the T11-T12 intervertebral space with diffuse idiopathic skeletal hyperostosis: a case report.

Abstract

STUDY DESIGN:

We report on a 69-year-old male who had severe back pain due to spontaneous symptomatic pseudoarthrosis at the T11-T12 intervertebral space with diffuse idiopathic skeletal hyperostosis.

OBJECTIVE:

To describe a rare clinical entity and successful treatment by spinal fusion with a 4-year follow-up.

SUMMARY OF BACKGROUND DATA:

There have been a few reports of spontaneous symptomatic pseudoarthrosis of an intervertebral space associated with diffuse idiopathic skeletal hyperostosis, but there have been no reports of surgical treatment for this clinical condition.

METHODS:

Plain radiographs of the patient, who was admitted to our hospital with severe back pain but no history of trauma, revealed manifestations of diffuse idiopathic skeletal hyperostosis and a pseudoarthrosis at the T11-T12 intervertebral space. Posterior instrumentation from T9 to L2 and anterior bone grafting at the T11-T12 intervertebral space were performed.

RESULTS:

The patient has been followed for 4 years and is currently asymptomatic.

CONCLUSIONS:

A rare case of spontaneous symptomatic pseudoarthrosis at the T11-T12 intervertebral space with diffuse idiopathic skeletal hyperostosis was treated successfully by spinal fusion.

• Authors: Kei Miyamoto, Katsuji Shimizu, Rieko Arimoto, Yasumichi Sakaguchi, Hirofumi Nishimoto, Hirotaka Kodama, Hideo Hosoe
• Journal: Spine (Spine (Phila Pa 1976)) Vol. 28 Issue 16 Pg. E320-2 (Aug 15 2003) ISSN: 1528-1159 [Electronic] United States
• PMID: 12923487 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Back Pain (etiology)
• Fractures, Spontaneous (complications, surgery)
• Humans
• Hyperostosis, Diffuse Idiopathic Skeletal (complications, surgery)
• Male
• Pseudarthrosis (complications, surgery)
• Spinal Fractures (complications, surgery)
• Spinal Fusion
• Treatment Outcome