[Charcot's disease of the lumbosacral joint in spinal cord injury: a case report]

Ann Readapt Med Phys. 2008 Dec;51(9):734-7. doi: 10.1016/j.annrmp.2008.09.001. Epub 2008 Oct 24.
[Article in French]

Abstract

Objective: Comment on spinal damage in Charcot's disease.

Observation: We report on a paraplegic patient with T9 spinal cord injury who developed destructive arthropathy of the lumbosacral joint.

Discussion: Charcot's disease occurs sporadically during the progression of certain chronic neurological diseases. It affects the limbs and the spine, where it causes major disc and vertebral damage. In cases of spinal cord injury, Charcot's disease must be considered when faced with the appearance of spinal deformity or the aggravation of neurological symptoms. Treatment of Charcot's disease requires spinal osteosynthesis for the relief of neurological compression and the re-establishment of spinal stability.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Accidents, Traffic
  • Adult
  • Arthropathy, Neurogenic / diagnosis*
  • Arthropathy, Neurogenic / etiology
  • Arthropathy, Neurogenic / surgery
  • Bacteremia / complications
  • Diagnostic Errors*
  • Discitis / diagnosis
  • Epidural Abscess / complications
  • Humans
  • Joint Instability / etiology
  • Joint Instability / surgery
  • Lumbar Vertebrae*
  • Male
  • Ofloxacin / therapeutic use
  • Osteolysis / etiology
  • Oxacillin / therapeutic use
  • Paraplegia / complications*
  • Sacrum*
  • Spinal Cord Injuries / complications*
  • Spinal Fractures / complications
  • Spinal Fusion
  • Spondylitis / diagnosis
  • Staphylococcal Infections / complications
  • Staphylococcal Infections / drug therapy
  • Thoracic Vertebrae / injuries
  • Thoracic Vertebrae / surgery
  • Wound Infection / complications
  • Wound Infection / drug therapy
  • Wound Infection / microbiology

Substances

  • Ofloxacin
  • Oxacillin