2015
DOI: 10.1038/scsandc.2015.22
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Charcot spinal arthropathy: an increasing long-term sequel after spinal cord injury with no straightforward management

Abstract: Charcot spinal arthropathy (CSA) is most likely increasing in patients suffering from consequences of spinal cord injury. We want to highlight initial symptoms, certain risk factors and perioperative complications of this condition. A single center retrospective case series in a specialized Center for Spinal Cord Injuries, BG Trauma Center Murnau, Germany highlighting the potential obstacles in the management of Charcot spine. We describe four female paraplegic patients (mean age: 50.75 years; range: 42-67), w… Show more

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Cited by 14 publications
(17 citation statements)
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“…Published case series of individuals with SCI typically include 5-10 cases [27][28][29][30][31]. For this case series, we aimed to recruit individuals with SCI who: were greater than 1 year post injury; experienced below-level neuropathic pain; were meeting the SCI physical activity guidelines (PAG) [32]; were able to read and write English; and had access to a Smartphone.…”
Section: Participantsmentioning
confidence: 99%
“…Published case series of individuals with SCI typically include 5-10 cases [27][28][29][30][31]. For this case series, we aimed to recruit individuals with SCI who: were greater than 1 year post injury; experienced below-level neuropathic pain; were meeting the SCI physical activity guidelines (PAG) [32]; were able to read and write English; and had access to a Smartphone.…”
Section: Participantsmentioning
confidence: 99%
“…Presence of an overlying skin breakdown or a fistula makes the infection apparent and may be picked up early [11,12]. An associated syrinx in case 2 may also have contributed to the relatively early presentation [14].…”
Section: Discussionmentioning
confidence: 99%
“…Although most commonly associated with traumatic SCI, CSA can be caused by any condition that impairs spinal sensory feedback, including hereditary insensitivity to pain, transverse myelitis, syringohydromyelia, diabetes, and others [3]. Persons with paraplegia with recurrent infections have been reported to be at increased risk for the development of CSA [4][5][6].…”
Section: Introductionmentioning
confidence: 99%