title: Surgical treatment of Charcot spine.
abstract: 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.
authors.affiliation: Department of Orthopaedic Surgery, National Hospital Organization, Murayama Medical Center, Tokyo, Japan. suda-y@murayama-hosp.jp
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Suda
authors.forename: Masanobu
authors.initials: M
authors.lastname: Shioda
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Kohno
authors.forename: Masafumi
authors.initials: M
authors.lastname: Machida
authors.forename: Masaaki
authors.initials: M
authors.lastname: Yamagishi
mesh_terms: 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