Surgical management of a complex case of Charcot arthropathy of the spine: a case report
| Autor: | Michael K. Rosner, Darshan Vora, Cody D. Schlaff |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty business.industry Osteomyelitis Case Report Spinal Cord Diseases Sequela Dermatology medicine.disease Surgery 03 medical and health sciences Nursing care 0302 clinical medicine Neurology Arthropathy medicine Vomiting Vertebrectomy medicine.symptom 0305 other medical science Complication business 030217 neurology & neurosurgery |
| Zdroj: | Spinal Cord Ser Cases |
| ISSN: | 2058-6124 |
| DOI: | 10.1038/s41394-019-0217-5 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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