Spinal Stenosis in Paget's Disease: 1 Case Report
10.4055/jkoa.1995.30.4.1078
- Author:
Taik Seon KIM
;
Jae Ik SHIM
;
Seong Jong LEE
;
Chang Mu YU
;
Suck Ha LEE
;
Young Sun KOH
- Publication Type:Case Report
- Keywords:
Paget's disease;
Spinal stenosis;
Surgical decompression
- MeSH:
Decompression;
Decompression, Surgical;
Humans;
Male;
Neurologic Manifestations;
Spinal Cord;
Spinal Stenosis;
Spine
- From:The Journal of the Korean Orthopaedic Association
1995;30(4):1078-1083
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In the paget's disease involving the vertebra, the symptom and sign of compression come from encroachment on the spinal cord due to the enlarging vertebral bodies, pedicles and laminae. The cord compression appears to be preceded by a long insidious period of noncharacteristic clinical symptoms with minor neurologic dysfunction. The lumbar syndrome of Paget's disease is classified according to its severity, clinical findings, biochemical factors and radiologic patterns. The severity of neurologic complication in Paget's disease involving the vertebra varies according to the level involved. The outcome depends on the suddeness of symptom onset and the effectiveness of decompression. We have experienced a case of Paget's disease involving long bones and lumbar spine in 56 year old male patient, in which surgical decompression produced improvement. We report a case of spinal stenosis in paget's disease with brief review of literature.