Diagnosis behind the mask: A rare case of infected Charcot's spine.
- Resource Type
- Report
- Authors
- Kučinskaite G; Department of Diagnostic and Interventional Radiology, St. Josef Hospital, Ruhr University of Bochum, Gudrunstrasse 56, Bochum, 44791, Germany.; Lutz T; Department of Diagnostic and Interventional Radiology, St. Marien Hospital Hamm, Germany.; Frey S; Department of Orthopedics and Trauma Surgery, St. Josef Hospital, Ruhr University of Bochum, Bochum, Germany.; Wetterkamp M; Department of Orthopedics and Trauma Surgery, St. Josef Hospital, Ruhr University of Bochum, Bochum, Germany.; Schulte TL; Department of Orthopedics, Emergency Surgery and Hand Surgery, Florence Nightingale Hospital, Dusseldorf, Germany.; Lukas C; Institute of Neuroradiology, St. Josef Hospital, Ruhr University of Bochum, Bochum, Germany.; Department of Neurology, St. Josef Hospital, Ruhr University of Bochum, Bochum, Germany.
- Source
- Publisher: Elsevier Country of Publication: Netherlands NLM ID: 101467888 Publication Model: eCollection Cited Medium: Print ISSN: 1930-0433 (Print) Linking ISSN: 19300433 NLM ISO Abbreviation: Radiol Case Rep Subsets: PubMed not MEDLINE
- Subject
- Language
- English
- ISSN
- 1930-0433
Charcot's spine is a very uncommon long-term complication of spinal cord injury. Infection of the spine is a common pathology, but infection of a Charcot's spine is rare and is challenging to diagnose, especially in differentiating between the Charcot defect and the osteomyelitis defect. Surgical reconstruction has to be extremely individualized. A 65-year-old man with a history of thoracic spinal cord injury with paraplegia 49 years ago was admitted to our hospital with high fever and aphasia. After a thorough diagnostic process, destructive Charcot's spine and secondary infection were diagnosed. This report additionally reviews the surgical management of secondary infected destructive lumbar Charcot's spine and follows the patient's recovery and postoperative quality of life.
(© 2023 Published by Elsevier Inc. on behalf of University of Washington.)