Challenges of cervical reconstruction for destructive spondyloarthropathy in renal osteodystrophy

Benjamin D. Elder*, Rory J. Petteys, Daniel M. Sciubba, Jean Paul Wolinsky

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Patients with end stage renal disease on hemodialysis may present with destructive spondyloarthropathy of the spine, most commonly in the subaxial cervical and lumbar spine, often with severe stenosis and instability. However, surgical management of these patients is challenging due to a high pseudarthrosis rate, poor bone quality, and medical frailty. We present a 49-year-old man on hemodialysis who presented with C4-C5 vertebral body destruction and a focal kyphotic deformity with myelopathy. The patient underwent a 360 degree decompression and reconstructive procedure that resulted in posterior instrumentation failure. Several salvage techniques were used in order to adequately stabilize the spine while preserving the patient's remaining cervical motion.

Original languageEnglish (US)
Pages (from-to)155-157
Number of pages3
JournalJournal of Clinical Neuroscience
Volume30
DOIs
StatePublished - Aug 1 2016

Keywords

  • Corpectomy
  • DSA
  • Destructive spondyloarthropathy
  • Myelopathy
  • Pseudarthrosis
  • Renal osteodystrophy

ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology
  • Physiology (medical)

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