Article
Surgical management in spinal sarcoidosis: Case report
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Published: | May 30, 2008 |
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Outline
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Objective: To report a rare case of vertebral sarcoidosis accompanied by transient neurologic symptoms and spine instability, and to discuss the diagnostic and therapeutic management.
Methods: After steroids therapy and subsequent neurological improvement, operative treatment by a two-stage posterior stabilization followed by anterior vertebrectomy and fusion was given to a patient with two 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
Conclusions: In the absence of any spinal instability, neurologic symptoms associated with vertebral sarcoidosis respond satisfactorily to non-operative treatment with steroids. Progressive neurologic deterioration or spinal instability caused by bone destruction requires operative intervention. Steroids therapy provided neurological improvement, posterior stabilization combined with anterior vertebrectomy and fusion provided spine stability for the patient in this report.