Synovitis, Acne, Pustulosis, Hyperostosis, and Osteitis (SAPHO) Syndrome with Destructive Spondylitis: A Case Report
Introduction: Spinal lesions in synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome generally have a good prognosis and rarely cause structural destruction or neurological deterioration. We described a surgical case of posterior instrumented surgery without anterior reconstructi...
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The Japanese Society for Spine Surgery and Related Research
2019-07-01
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doaj-87bd756ac46c41caa6b66d81695566bc2020-11-25T01:13:26ZengThe Japanese Society for Spine Surgery and Related ResearchSpine Surgery and Related Research2432-261X2019-07-013326726910.22603/ssrr.2018-00352018-0035Synovitis, Acne, Pustulosis, Hyperostosis, and Osteitis (SAPHO) Syndrome with Destructive Spondylitis: A Case ReportToshio Nakamae0Kiyotaka Yamada1Yasuyuki Tsuchida2Nobuo Adachi3Yoshinori Fujimoto4Department of Orthopaedic Surgery, Graduate School of Biomedical & Health Sciences, Hiroshima UniversityDepartment of Orthopaedic Surgery, JA Hiroshima General HospitalDepartment of Radiology, JA Hiroshima General HospitalDepartment of Orthopaedic Surgery, Graduate School of Biomedical & Health Sciences, Hiroshima UniversityDepartment of Orthopaedic Surgery, JA Hiroshima General HospitalIntroduction: Spinal lesions in synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome generally have a good prognosis and rarely cause structural destruction or neurological deterioration. We described a surgical case of posterior instrumented surgery without anterior reconstruction and bone graft in a patient with SAPHO syndrome with destructive spondylitis and reviewed the literature on surgical treatment for this entity. Case Report: We describe the case of a 73-year-old male who presented with palmoplantar pustulosis. He experienced progressive low back and leg pain for the past 3 months. Destructive spondylitis and lumbar canal stenosis were detected with magnetic resonance imaging (MRI), and aspiration biopsy was used to exclude pyogenic spondylitis and spinal tumors. He underwent posterior decompression and fixation surgery without anterior reconstruction and bone grafting. Low back and leg pain improved after surgery. Postoperative radiography and computed tomography showed boney bridge between vertebral bodies, and MRI showed the decrease of bone marrow edema. Conclusions: Posterior fusion without anterior reconstruction produced a bony bridge between the vertebral bodies. Taking the pathophysiology of SAPHO syndrome into consideration, anterior reconstructed fusion for patients with SAPHO syndrome might not be needed.https://www.jstage.jst.go.jp/article/ssrr/3/3/3_2018-0035/_pdf/-char/ensynovitisacnepustulosishyperostosisand osteitis (sapho)spinespondylitissurgery |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Toshio Nakamae Kiyotaka Yamada Yasuyuki Tsuchida Nobuo Adachi Yoshinori Fujimoto |
spellingShingle |
Toshio Nakamae Kiyotaka Yamada Yasuyuki Tsuchida Nobuo Adachi Yoshinori Fujimoto Synovitis, Acne, Pustulosis, Hyperostosis, and Osteitis (SAPHO) Syndrome with Destructive Spondylitis: A Case Report Spine Surgery and Related Research synovitis acne pustulosis hyperostosis and osteitis (sapho) spine spondylitis surgery |
author_facet |
Toshio Nakamae Kiyotaka Yamada Yasuyuki Tsuchida Nobuo Adachi Yoshinori Fujimoto |
author_sort |
Toshio Nakamae |
title |
Synovitis, Acne, Pustulosis, Hyperostosis, and Osteitis (SAPHO) Syndrome with Destructive Spondylitis: A Case Report |
title_short |
Synovitis, Acne, Pustulosis, Hyperostosis, and Osteitis (SAPHO) Syndrome with Destructive Spondylitis: A Case Report |
title_full |
Synovitis, Acne, Pustulosis, Hyperostosis, and Osteitis (SAPHO) Syndrome with Destructive Spondylitis: A Case Report |
title_fullStr |
Synovitis, Acne, Pustulosis, Hyperostosis, and Osteitis (SAPHO) Syndrome with Destructive Spondylitis: A Case Report |
title_full_unstemmed |
Synovitis, Acne, Pustulosis, Hyperostosis, and Osteitis (SAPHO) Syndrome with Destructive Spondylitis: A Case Report |
title_sort |
synovitis, acne, pustulosis, hyperostosis, and osteitis (sapho) syndrome with destructive spondylitis: a case report |
publisher |
The Japanese Society for Spine Surgery and Related Research |
series |
Spine Surgery and Related Research |
issn |
2432-261X |
publishDate |
2019-07-01 |
description |
Introduction: Spinal lesions in synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome generally have a good prognosis and rarely cause structural destruction or neurological deterioration. We described a surgical case of posterior instrumented surgery without anterior reconstruction and bone graft in a patient with SAPHO syndrome with destructive spondylitis and reviewed the literature on surgical treatment for this entity.
Case Report: We describe the case of a 73-year-old male who presented with palmoplantar pustulosis. He experienced progressive low back and leg pain for the past 3 months. Destructive spondylitis and lumbar canal stenosis were detected with magnetic resonance imaging (MRI), and aspiration biopsy was used to exclude pyogenic spondylitis and spinal tumors. He underwent posterior decompression and fixation surgery without anterior reconstruction and bone grafting. Low back and leg pain improved after surgery. Postoperative radiography and computed tomography showed boney bridge between vertebral bodies, and MRI showed the decrease of bone marrow edema.
Conclusions: Posterior fusion without anterior reconstruction produced a bony bridge between the vertebral bodies. Taking the pathophysiology of SAPHO syndrome into consideration, anterior reconstructed fusion for patients with SAPHO syndrome might not be needed. |
topic |
synovitis acne pustulosis hyperostosis and osteitis (sapho) spine spondylitis surgery |
url |
https://www.jstage.jst.go.jp/article/ssrr/3/3/3_2018-0035/_pdf/-char/en |
work_keys_str_mv |
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