General case of the day. Neuropathic arthropathy of the thoracic spine (T8-T9).

Foderaro, Anthony E.; el-Khoury, G Y; Hingtgen, W L; Hitchon, Patrick W.; Franken, Edmund A.

doi:10.1148/radiographics.7.2.3448642

Cited by 4 publications

(3 citation statements)

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“…7,8 Between 6% and 21% of patients with neuropathic osteoarthropathy affecting peripheral joints also are estimated to have Charcot arthropathy of the spine. 7,8 Between 6% and 21% of patients with neuropathic osteoarthropathy affecting peripheral joints also are estimated to have Charcot arthropathy of the spine.…”

Section: Spinementioning

confidence: 99%

“…7,8 Between 6% and 21% of patients with neuropathic osteoarthropathy affecting peripheral joints also are estimated to have Charcot arthropathy of the spine. 7,8 The region of the spine most often involved is the thoracolumbar junction or lumbar spine, resulting in kyphotic deformity. A causal link between previous laminectomy and neuropathic spinal osteoarthropathy, particularly after a traumatic medullary lesion, is postulated due to loss of posterior stabilizing components.…”

Section: Spinementioning

confidence: 99%

“…9 In the absence of infection or neoplasm, Charcot arthropathy of the spine must be considered in paraplegic and tetraplegic patients with spinal deformity, vertebral destruction, and dislocation. 7 Prominent disc space destruction is typical. 7,8 The region of the spine most often involved is the thoracolumbar junction or lumbar spine, resulting in kyphotic deformity.…”

Section: Spinementioning

confidence: 99%

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Neuropathic Osteoarthropathy

2010

Contemporary Diagnostic Radiology

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Neuropathic osteoarthropathy (NOAP) describes a spectrum of destructive changes in bones and joints as a result of a neurosensory deficit. 1 Neuropathic osteoarthropathy is known by various other names, including but not limited to neuro-osteoarthropathy, neuropathic arthropathy, Charcot arthropathy, Charcot joint, or neuropathic joint. A combination of sensory, motor, and autonomic dysfunction culminates in loss of joint proprioception and loss of sensation in the joint. 2 The loss of pain perception and altered biomechanics ultimately result in joint dissolution. This disorder most commonly affects the weight-bearing joints of the lower limb and, to a lesser extent, the upper extremities and the spine. The neuropathic joint is predisposed to arthrosis, alignment deformities, fractures, and infections. [1][2][3] The location and extent of changes depend on whether the neuropathy is central or peripheral and the degree of loss of sensory, motor, and autonomic function. Various neuropathic conditions have a predilection for specific joints. Consequently, with this knowledge the radiologist often is able to suggest the correct etiology for the radiographic findings. PathophysiologyTwo main theories are proposed to explain the pathophysiology of neuropathic osteoarthropathy-neurotraumatic and neurovascular.

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Section: Spinementioning

confidence: 99%

Section: Spinementioning

confidence: 99%

Section: Spinementioning

confidence: 99%

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Neuropathic Osteoarthropathy

2010

Contemporary Diagnostic Radiology

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Spinal neuropathic osteoarthropathy (Charcot) disease resulting in a traumatic subarachnoid haemorrhage

Rangi

Jenkins

Ellis

et al. 2006

European Journal of Radiology Extra

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Charcot’s Disease of The Spine

Vialle

Mary²,

Tassin³

et al. 2005

Spine

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The diagnosis of Charcot's arthropathy of the spine must be considered in paraplegic and tetraplegic patients with spinal deformity with bone destruction and vertebral dislocation in the absence of an infection or neoplastic disease. The treatment of a Charcot's spine is circumferential fusion and osteosynthesis. Monitoring by clinical and imaging examination must be continued, because multifocal vertebral lesions can occur in cases of extensive proprioceptive deficit.

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General case of the day. Neuropathic arthropathy of the thoracic spine (T8-T9).

Cited by 4 publications

References 0 publications

Neuropathic Osteoarthropathy

Neuropathic Osteoarthropathy

Spinal neuropathic osteoarthropathy (Charcot) disease resulting in a traumatic subarachnoid haemorrhage

Charcot’s Disease of The Spine

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