Surgical treatment of Charcot spine.
The authors report 4 cases of Charcot spine treated surgically. In the surgical treatment, combined anterior and posterior with extensive debridement, autogenous bone grafting, and posterior instrumentation is the main therapeutic modality. Some cases with mild bone destruction could be treated by posterior interbody fusion. For the unstable, symptomatic Charcot spine, surgical treatment can provide excellent results.
Suda
Yoshio
Y
Department of Orthopaedic Surgery, National Hospital Organization, Murayama Medical Center, Tokyo, Japan. suda-y@murayama-hosp.jp
Shioda
Masanobu
M
Kohno
Hitoshi
H
Machida
Masafumi
M
Yamagishi
Masaaki
M
D000328:Adult; D001175:Arthrography; D001177:Arthropathy, Neurogenic / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D001416:Back Pain / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D016025:Bone Transplantation / Q000379:methods; D003646:Debridement; D005260:Female; D006801:Humans; D016268:Internal Fixators / Q000592:standards / Q000639:trends; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013123:Spinal Fusion / Q000295:instrumentation / Q000379:methods* / Q000592:standards; D013131:Spine / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D025241:Spondylarthritis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D014182:Transplantation, Autologous / Q000379:methods; D016896:Treatment Outcome; D021801:Zygapophyseal Joint / Q000473:pathology / Q000503:physiopathology / Q000601:surgery