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Surgical management of a complex case of Charcot arthropathy of the spine: a case report

INTRODUCTION: The authors present a case of a 55-year-old male with T10 complete paraplegia diagnosed with Charcot arthropathy of the spine (CAS). CASE PRESENTATION: He presented to an outside institution with vomiting and productive cough with subsequent computed tomography (CT) and MRI imaging rev...

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Detalles Bibliográficos
Autores principales: Vora, Darshan, Schlaff, Cody D., Rosner, Michael K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786288/
https://www.ncbi.nlm.nih.gov/pubmed/31632731
http://dx.doi.org/10.1038/s41394-019-0217-5
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author Vora, Darshan
Schlaff, Cody D.
Rosner, Michael K.
author_facet Vora, Darshan
Schlaff, Cody D.
Rosner, Michael K.
author_sort Vora, Darshan
collection PubMed
description INTRODUCTION: The authors present a case of a 55-year-old male with T10 complete paraplegia diagnosed with Charcot arthropathy of the spine (CAS). CASE PRESENTATION: He presented to an outside institution with vomiting and productive cough with subsequent computed tomography (CT) and MRI imaging revealing L5 osteomyelitis and a paraspinal abscess. Given the patient’s inability to remain in good posture in his wheelchair he underwent a multilevel vertebrectomy and thoracolumbar fusion. Due to multiple co-morbidities, surgical recovery was complex, ultimately requiring revision circumferential fixation. DISCUSSION: CAS is an uncommon, long-term complication of traumatic spinal cord injury (SCI). Surgical management is often complex and associated with significant complications. Currently, a consensus on CAS prevention, specific surgical fixation techniques and post-surgical nursing care management is lacking. In this case report we provide our experience in the management of a complex case of CAS to aid in decision making for future neurosurgeons who encounter this sequela of traumatic SCI.
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spelling pubmed-67862882020-08-22 Surgical management of a complex case of Charcot arthropathy of the spine: a case report Vora, Darshan Schlaff, Cody D. Rosner, Michael K. Spinal Cord Ser Cases Case Report INTRODUCTION: The authors present a case of a 55-year-old male with T10 complete paraplegia diagnosed with Charcot arthropathy of the spine (CAS). CASE PRESENTATION: He presented to an outside institution with vomiting and productive cough with subsequent computed tomography (CT) and MRI imaging revealing L5 osteomyelitis and a paraspinal abscess. Given the patient’s inability to remain in good posture in his wheelchair he underwent a multilevel vertebrectomy and thoracolumbar fusion. Due to multiple co-morbidities, surgical recovery was complex, ultimately requiring revision circumferential fixation. DISCUSSION: CAS is an uncommon, long-term complication of traumatic spinal cord injury (SCI). Surgical management is often complex and associated with significant complications. Currently, a consensus on CAS prevention, specific surgical fixation techniques and post-surgical nursing care management is lacking. In this case report we provide our experience in the management of a complex case of CAS to aid in decision making for future neurosurgeons who encounter this sequela of traumatic SCI. Nature Publishing Group UK 2019-08-22 /pmc/articles/PMC6786288/ /pubmed/31632731 http://dx.doi.org/10.1038/s41394-019-0217-5 Text en © International Spinal Cord Society 2019
spellingShingle Case Report
Vora, Darshan
Schlaff, Cody D.
Rosner, Michael K.
Surgical management of a complex case of Charcot arthropathy of the spine: a case report
title Surgical management of a complex case of Charcot arthropathy of the spine: a case report
title_full Surgical management of a complex case of Charcot arthropathy of the spine: a case report
title_fullStr Surgical management of a complex case of Charcot arthropathy of the spine: a case report
title_full_unstemmed Surgical management of a complex case of Charcot arthropathy of the spine: a case report
title_short Surgical management of a complex case of Charcot arthropathy of the spine: a case report
title_sort surgical management of a complex case of charcot arthropathy of the spine: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786288/
https://www.ncbi.nlm.nih.gov/pubmed/31632731
http://dx.doi.org/10.1038/s41394-019-0217-5
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