Abstract:
STUDY DESIGN:Case report of a patient with transient paraplegia and spine instability because of sarcoidosis of 2 vertebral bodies. OBJECTIVES:To report a rare case of vertebral sarcoidosis accompanied by transient neurologic symptoms and spine instability, and to discuss the diagnostic and therapeutic management. SUMMARY OF BACKGROUND DATA:Vertebral sarcoidosis is a rare condition, and only a few case reports exist in the literature. In most cases, treatment with steroids improves associated neurologic symptoms. Operative intervention is necessary in cases with spinal instability because of progressive vertebral destruction and impending or progressive neurologic deterioration. METHODS:After steroids therapy and subsequent neurologic improvement, operative treatment by a 2-stage posterior stabilization followed by anterior vertebrectomy and fusion was given to a patient with 2-level vertebral sarcoidosis and residual spine instability. RESULTS:After steroids therapy, the patient had a complete neurologic recovery; satisfactory spinal stability was achieved after surgery. CONCLUSION:In the absence of any spinal instability, neurologic symptoms associated with vertebral sarcoidosis respond satisfactorily to nonoperative treatment with steroids. Progressive neurologic deterioration or spinal instability caused by bone destruction requires operative intervention. Steroids therapy provided neurologic improvement, posterior stabilization combined with anterior vertebrectomy and fusion provided spine stability for the patient in this report.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Brembilla C,Signorelli A,Lamartina C,Biroli Fdoi
10.1097/BRS.0b013e318191e7adsubject
Has Abstractpub_date
2009-04-01 00:00:00pages
E258-61issue
7eissn
0362-2436issn
1528-1159pii
00007632-200904010-00035journal_volume
34pub_type
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