Radioclinic Parameters

Youngest Patient

Elder Patient

Tuberculosis history

No

Yes

Immunocompetence

Yes

Yes

Cardiovascular risk factors

Any

· High blood pressure

· Glycaemic Instability

Fever

Initially

Initially

Uncontrollable neuropathic pain

Yes

Yes

Motor deficit

Progressive Paraparesia

Progressive Paraplegia

Sensitive deficit

L5S1 right Hypoesthesia

L3 Hypoesthesia

Genito-Sphincters disorders

Erectile Defect & Dysuria

Any

Radiology

L5S1 Spondylodiscitis + Anterior epiduritis + L5 rightfacet jointarthritis

L4L5 Spondylodiscitis + Antero-posterior epidurals

Surgery

L4L5S1 Laminectomy + Biopsy

L3L4L5 Laminectomy + Biopsy

Macroscopic aspect of the lesion

· Flavo-ligament tophus in white-chalky crystallized matrix

· Articular tophus L5 granulated-whitish

· Anterior epidurals

· Hypertrophied chalky-white compressive ligament tophus

· Antero-posterior epiduritis

Postoperative Polyarthritis

· 2 knees

· 2 ankles

· Cervical Pain

· 2 knees

· 2 ankles

· 2 Hallux

Hyperuricemia Pre- (a) & Postoperative (b)

(a) 58 mg/l = 345.1 µmol/l

(b) 111.8 mg/l = 665.8 µmol/l

(a) 71 mg/l = 422.5 µmol/l

(b) 107 mg/l = 636.7 µmol/l

Histology

· Non-specific Inflammatory tissue

· Negative PCR-MT

· Non-specific Inflammatory tissue

· Negative PCR-MT

Evolvement

· Sensorimotor recovery

· Normal gait at 3 months

· Sensorimotor recovery

· Normal gait à 6 months