J Korean Med Sci.
2010 Mar;25(3):472-475. 10.3346/jkms.2010.25.3.472.
Multiple Vertebral Involvement of Rheumatoid Arthritis in Thoracolumbar Spine: A Case Report
- Affiliations
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- 1Department of Neurosurgery, School of Medicine, Kyungpook National University, Daegu, Korea. sobotta72@hotmail.com
- 2Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea.
- KMID: 1778046
- DOI: http://doi.org/10.3346/jkms.2010.25.3.472
Abstract
- Although little attention has been paid to the less common rheumatoid involvement of the thoracic and lumbar regions, some studies have shown that rheumatoid synovitis with erosive changes can develop in these diarthrodial joints. We report a patient with seropositive rheumatoid arthritis (RA) involving the thoracic and lumbar vertebra with a collapse of the T12 vertebra, who was treated with percutaneous vertebroplasty. In this case of a painful pathological fracture due to RA, percutaneous vertebroplasty was found to be helpful in eliminating the pain. The paper presents the histological evidence, the pathogenesis and treatment of the thoracolumbar lesions affected by RA with a review of the relevant literature.
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