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59th Annual Meeting of the German Society of Neurosurgery (DGNC)
3rd Joint Meeting with the Italian Neurosurgical Society (SINch)

German Society of Neurosurgery (DGNC)

1 - 4 June 2008, Würzburg

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Surgical management in spinal sarcoidosis: Case report

Meeting Abstract

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  • corresponding author C. Brembilla - Department of Neurosurgery, Ospedali Riuniti, Bergamo, Italy
  • A. Signorelli - Department of Neurosurgery, Ospedali Riuniti, Bergamo, Italy
  • F. Biroli - Department of Neurosurgery, Ospedali Riuniti, Bergamo, Italy
  • C. Lamartina - II Spine Surgery Department, Istituto Ortopedico Galeazzi, Milano, Italy

Deutsche Gesellschaft für Neurochirurgie. Società Italiana di Neurochirurgia. 59. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 3. Joint Meeting mit der Italienischen Gesellschaft für Neurochirurgie (SINch). Würzburg, 01.-04.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocP 044

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dgnc2008/08dgnc312.shtml

Published: May 30, 2008

© 2008 Brembilla et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

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.