Infection of a Charcot Spine

Pritchard, John C.; Coscia, Michael F.

doi:10.1097/00007632-199305000-00016

Cited by 21 publications

(5 citation statements)

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“…[1][2][3][4] Furthermore, infection in Charcot spine following spinal cord injury is extremely rare, and only two cases have been previously cited. 5,6 Mikawa et al 5 reported a case of L2/3 Charcot spine with a fistula, and successful bone fusion was achieved using a combined method of anterior interbody fusion and posterior fusion employing the L-rod instrumentation with autogenous iliac bone grafts. Pritchard 6 reported a case of Th12/L1 Charcot spine with a subcutaneous paraspinal mass, and successfully treated with posterolateral fusion using an autogenous iliac crest graft and segmental spinal instrumentation.…”

Section: Discussionmentioning

confidence: 99%

“…5,6 Mikawa et al 5 reported a case of L2/3 Charcot spine with a fistula, and successful bone fusion was achieved using a combined method of anterior interbody fusion and posterior fusion employing the L-rod instrumentation with autogenous iliac bone grafts. Pritchard 6 reported a case of Th12/L1 Charcot spine with a subcutaneous paraspinal mass, and successfully treated with posterolateral fusion using an autogenous iliac crest graft and segmental spinal instrumentation. The causative organism was Staphylococcus epidermidis and Streptococcus foecalis in the first case, and Corynebacteria in the second case.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4] Furthermore, infection in Charcot spine following spinal cord injury is extremely rare, and only two cases have been previously cited. 5,6 We report a third such case of infected Charcot spine who suffered spinal cord injury 7 years ago. He was successfully treated by posterior spinal instrumentation following percutaneous external spinal fixation.…”

Section: Introductionmentioning

confidence: 95%

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Infected Charcot spine

et al. 2005

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Study design: Case report of an infected Charcot spine following spinal cord injury. Objective: To describe this very rare pathological condition and the results of surgical treatment. Setting: A department of orthopaedic surgery in Japan. Methods: A 44-year-old man presented with a destructive lesion in the lumbo-sacral spine and a fistula in his back. Anterior bone graft, percutaneous external spinal fixation, and suction/ irrigation of the wound were performed. After 4 months, posterior spinal instrumentation surgery was carried out. Results: Primary closure of the fistula and complete bone fusion was achieved after the operation. Conclusion: Infection of a Charcot spine, although a rare clinical entity, should be considered as a diagnostic possibility in the spinal cord-injured patients. External spinal fixation is a useful method for the unstable spinal lesion with infection.Spinal Cord (2005) 43, 256-259.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

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Infected Charcot spine

et al. 2005

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“…The largest documented case series on CSA by Jacobs et al, and Aebli et al, did not provide the details of their infected CSA cases [4,9]. We did, however, find case reports documenting the management of infected CSA (Table 3) [7,[10][11][12]. The source of infection in CSA is commonly through a fistulous tract or an infected decubitus but can also be hematogenous [7].…”

Section: Discussionmentioning

confidence: 80%

“…The time span is possibly related to the virulence of the organism, host immunity and the severity of neuropathic destruction. Presence of an overlying skin breakdown or a fistula makes the infection apparent and may be picked up early [11,12]. An associated syrinx in case 2 may also have contributed to the relatively early presentation [14].…”

Section: Discussionmentioning

confidence: 99%

Infected charcot spine arthropathy

Yelamarthy

Rustagi

Mahajan

et al. 2018

Spinal Cord Ser Cases

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Autonomic dysreflexia associated with Charcot spine following spinal cord injury: a case report and literature review

et al. 2010

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We report the case of a 50-year-old man presenting symptoms of autonomic dysreflexia associated with Charcot spine following complete C8 spinal cord injury. After posterior lumbar interbody fusion of L2/3 with simultaneous posterior instrumentation from L1 to L5, the patient recovered from the symptoms of autonomic dysreflexia. Although the patient began to faint when he sat up and transferred after surgery, it began to be resolved by continuous urinary catheterization, setting a limit to activity and prescription of alpha-, beta-stimulants. Within a few weeks after performing these treatment strategies, he could return to active wheelchair life, and no recurrence of any symptoms was noted at the 6-year follow-up. Although there are only a small number of cases with Charcot spine presenting autonomic dysreflexia, surgical stabilization of the affected lesion for patients with this condition should be recommended.

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Infection of a Charcot Spine

Cited by 21 publications

References 0 publications

Infected Charcot spine

Infected Charcot spine

Infected charcot spine arthropathy

Autonomic dysreflexia associated with Charcot spine following spinal cord injury: a case report and literature review

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