A Rare Cause of Back Pain and Radiculopathy – Spinal Tophi

A Case Report

S. A. Wan; C. L. The; A. T. Jobli; Y. K. Cheong; W. V. Chin; B. B. Tan


J Med Case Reports. 2019;13(8) 

In This Article


Gout is a monosodium urate deposition disease.[1] Deposition of monosodium urate crystals in the joints result in gouty arthritis and deposition of monosodium urate crystals in the soft tissue result in tophi formation. Although gout is prevalent in society, spinal gout is rarely reported. Spinal tophi are not usually suspected when a patient presents with back pain with neurological symptoms. Spinal cord compression, epidural abscess, spondylodiscitis, and malignancy are more common diagnoses. We present a case of a patient with back pain with radiculopathy due to spinal tophi.