Reconstruction of the Charcot Spine with a Vascularized Pedicle: A Report of 3 Cases
- PMID: 39946507
- DOI: 10.2106/JBJS.CC.24.00499
Reconstruction of the Charcot Spine with a Vascularized Pedicle: A Report of 3 Cases
Abstract
Case: We present 3 patients with Charcot spinal arthropathy (CSA) as a result of previous spine trauma treated initially with spinal instrumentation. All developed CSA in a delayed presentation years after the original injury and surgery. All were reconstructed with anterior and posterior surgery. In each case, the anterior reconstruction was supplemented with a vascularized pedicle graft.
Conclusion: All 3 patients went on to fusion after previously demonstrated bone loss after a vascularized pedicle was used.
Copyright © 2025 by The Journal of Bone and Joint Surgery, Incorporated.
Conflict of interest statement
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C555).
References
-
- Hoché G, Sanders LJ. On some arthropathies apparently related to a lesion of the brain or spinal cord, by Dr. J.-M. Charcot, January 1868. J Hist Neurosci. 1992;1(1):75-87.
-
- karthik Yelamarthy Pkrishna, Rustagi T, Mahajan R, Singh V, Das K, Bansal ML, Mohapatra B, Chhabra HS. Infected charcot spine arthropathy. Spinal Cord Ser Cases. 2018;4(1):73.
-
- Ledbetter LN, Salzman KL, Sanders RK, Shah LM. Spinal neuroarthropathy: pathophysiology, clinical and imaging features, and differential diagnosis. Radiographics. 2016;36(3):783-99.
-
- Staudt MD, Bailey CS, Siddiqi F. Charcot spinal arthropathy in patients with congenital insensitivity to pain: a report of two cases and review of the literature. Neurosurg Rev. 2018;41(4):899-908.
-
- Lee D, Dahdaleh N. Charcot spinal arthropathy. J Craniovertebr Junction Spine. 2018;9(1):9-19.
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