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Surgical Treatment of Charcot Spine Yoshio Suda 1 , Masanobu Shioda 1 , Hitoshi Kohno 1 , Masafumi Machida 1 , Masaaki Yamagishi 1 , Masashi Saito 2 1Department of Orthopaedic Surgery,National Hospital Organization,Murayama Medical Center 2Keiyu Orthopaedic Hospital Keyword: Charcot spine(神経障害性脊椎症) , surgical treatment(手術的治療) , spinal instrumentation(脊椎インストゥルメンテーション) pp.1251-1256
Published Date 2005/11/1
DOI https://doi.org/10.11477/mf.1408100220
  • Abstract
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Neuropathic spinal arthropathy is a relatively rare condition,but must be considered in the differential diagnosis of degeneration of one or more levels of the spine associated with diminished protective sensation. This is a report of 6 cases of Charcot spine treated surgically. The main therapeutic modality of the surgical treatment was combined anterior and posterior approach,with extensive debridement,autogenous bone grafting,and posterior instrumentation. Some cases with mild bone destruction could be treated by posterior interbody fusion. There were two rare cases of Charcot spine with infection,and external fixation is a useful method of treating such patients.


Copyright © 2005, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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