Rafael Lorente1 and Alejandro Lorente2*
1Department of Orthopedic Surgery and Traumatology, Infanta Cristina Hospital, Spain
2Department of Orthopedic Surgery, Hospital Ramón y Cajal, Spain
Low back pain is one of the most common symptoms in current population around the world. Nevertheless, tophaceous deposits in lumbar spine is a very rare condition with very few cases reported in literature. We present a case report of a 52-year-old patient with low back pain, left leg pain and numbness whose serum uric acid level was in normal range. MRI and SPECT images suggested an inflammatory-infectious process focus at L4. After a descompressive laminectomy at L4-L5 level, histological examination showed a chalky material with extensive deposition of amorphous gouty material surrounded by macrophages and foreign-body giant cells (Tophaceous deposits).
Gout tophus; Lumbar spine; Low back pain; Magnetic resonance imaging
Lorente R, Lorente A. Low back Pain may be the Initial Symptom of Systemic Gout Despite Normouricemia Blood Level. Ann Spine Res. 2018; 1(1): 1002.