Charcot’s Disease of The Spine

Vialle, Raphaël; Mary, P.; Tassin, Jean-Louis; Parker, Fabrice; Guillaumat, M

doi:10.1097/01.brs.0000164283.01454.9f

Cited by 57 publications

(27 citation statements)

References 30 publications

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“…In patients suffering from spinal cord injury, repeated joint microtraumas can progress to spinal instability and hardware failure due to the loss of sensitive and proprioceptive information [8]. The mean time of appearance of this complication is generally 10-20 years (range 1-42 years) as described by Morita et al [3] In our patient the symptoms developed 10 years after the injury and spinal instrumentation.…”

Section: Discussionmentioning

confidence: 75%

Onset of a Charcot spinal arthropathy at a level lacking surgical arthrodesis in a paraplegic patient with traumatic cord injury

et al. 2009

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The study design included a case report of Charcot spinal arthropathy treated with posterior and anterior spinal instrumentation. The objective of the study was to report an unusual case of Charcot spinal arthropathy as a late complication of traumatic spinal cord injury in a patient previously treated with a long posterior thoracolumbar instrumentation and postero-lateral fusion. A 33-year-old man with T10-T11 complete paraplegia presented with focal low back pain, kyphotic deformity of the lumbar region with L2-L3 fracture-dislocation and hardware failure. Our treatment consisted of a circumferential arthrodesis performed with a combined anterior and posterior approach. Spinal stabilization was achieved and the patient was pain free and able to resume a sitting posture. This report suggests that the development of a Charcot spine arthropathy must always be considered as a late complication of a spinal cord injury. Moreover, we would emphasize the fundamental role of a strict clinical and radiological follow-up in order to detect an early Charcot spine complication.

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Section: Discussionmentioning

confidence: 75%

Onset of a Charcot spinal arthropathy at a level lacking surgical arthrodesis in a paraplegic patient with traumatic cord injury

et al. 2009

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“…Extensive spine fixation may be necessary in some cases; this reduces the patient's ability of reaching the genital zone for self-care maneuvers. A double approach may guarantee an adequate stability with a shorter fixation, so combined anterior and posterior fusion is generally recommended [13,14]. Circumferential reconstruction by a single-staged posterior approach is possible in selected cases [15,16].…”

Section: Discussionmentioning

confidence: 98%

Sitting imbalance cause and consequence of post-traumatic Charcot spine in paraplegic patients

et al. 2014

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“…Charcot arthropathy secondary to syringomyelia mostly involved single joint and involvement of multiple joint is rare [8,9]. Furthermore, the joints mostly involved are the hip and knee in tabes dorsalis [6]; spine in tertiary syphilis, post–spinal cord injury [10], and congenital insensitivity to pain [11]; and tarsometatarsal and subtalar joint in chronic alcohol abuse [12]. …”

Section: Discussionmentioning

confidence: 99%

A case report of Charcot arthropathy caused by syringomyelia and Chiari malformation complicated with scoliosis

et al. 2014

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BackgroundAlthough Charcot arthropathy, also known as neuropathic arthropathy, of which early diagnosis and treatment is extremely difficult, associated with other cause factor has been widely described, Charcot arthropathy caused by syringomyelia and Chiari malformation complicated with scoliosis has never been described in the literature.Case presentationA 44-year-old male was hospitalized for diagnosis and treatment due to complaining the progressively swelling and limitation of motion in his left shoulder joint for 1 year. The patient has no significant past medical history except for scoliosis 8 years prior to his presentation to our clinic; He denied any constitutional symptoms, trauma, or pain in the upper extremities at this time of presentation. Based on history, physical and auxiliary examination, following diagnoses were made: Charcot arthropathy of the left shoulder, syringomyelia, Chiari malformation and scoliosis.ConclusionOnce Charcot arthritis was found, it was mostly in advanced stage and very difficult to treat. So we recommended that if patient suffering from scoliosis visited in clinic, further examination such as magnetic resonance imaging (MRI) and regular follow-up should be carried out, and early-stage of this devastating disease caused by syringomyelia and Chiari malformation may be diagnosed easily.

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Charcot’s Disease of The Spine

Cited by 57 publications

References 30 publications

Onset of a Charcot spinal arthropathy at a level lacking surgical arthrodesis in a paraplegic patient with traumatic cord injury

Onset of a Charcot spinal arthropathy at a level lacking surgical arthrodesis in a paraplegic patient with traumatic cord injury

Sitting imbalance cause and consequence of post-traumatic Charcot spine in paraplegic patients

A case report of Charcot arthropathy caused by syringomyelia and Chiari malformation complicated with scoliosis

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