Complications in the management of Charcot spinal arthropathy.


Charcot spinal arthropathy is a relatively rare, destructive process characterized by a cycle of progressive deformity, destruction, and worsening instability as a result of repetitive trauma and inflammation. It may result from nontraumatic as well as traumatic causes. Historically, patients with severe symptomatic instability have been successfully treated with combined anterior and posterior fusion techniques. The long-term outcomes and potential complications, however, have not been well reported. The authors report on 2 such cases of Charcot spinal arthropathy treated surgically, one with a traumatic and one with a nontraumatic etiology. They include the unique pitfalls encountered while treating these patients, as well as their surgical treatments, complications, and long-term results.

DOI: 10.3171/2009.3.SPINE08554

Cite this paper

@article{Hong2009ComplicationsIT, title={Complications in the management of Charcot spinal arthropathy.}, author={Joseph Hong and James A Sanfilippo and Jeffrey A. Rihn and Carmella Fernandez and Corbett D Winegar and Brian C. Friel and Steven C. Ludwig and Daniel E. Gelb and Alexander R. Vaccaro}, journal={Journal of neurosurgery. Spine}, year={2009}, volume={11 3}, pages={365-8} }