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Minimally Invasive Thoracic-Lumbar Stabilization Surgery for Infected Charcot Spine Arthropathy (ICSA) After Spinal Cord Injury – Lumbar Fusion

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The article discusses a case of an infected Charcot spine arthropathy (ICSA) in a 49-year-old man with a history of spinal cord injury. The patient underwent spinal reconstruction surgery using a minimally invasive technique, including a penetrating endplate screw, lateral lumbar interbody fusion (LLIF), and a computer-assisted rod bending system. The surgery was successful, with a CT scan showing bony fusion six months post-operation. The article highlights the importance of reconstructive surgery in controlling infection and symptoms associated with kyphotic deformity in ICSA. The authors emphasize that while traditional treatments for ICSA are highly invasive, they were able to achieve positive outcomes with minimally invasive surgery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most specialised spine facility on Harley Street UK

Published article

Charcot spinal arthropathy (CSA) is a very rare condition that causes destruction and deformity of the spine due to impaired sensation. We report a case of an infected Charcot spine arthropathy (ICSA) treatment with spinal reconstruction surgery using a minimally invasive surgery (MIS) technique. A 49-year-old man who had a spinal cord injury (SCI) at age 19 presented with a destructive lesion in the L2/3 and a fistula in his lower back. Spinal reconstruction surgery using a penetrating endplate…

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Cureus. 2024 Feb 27;16(2):e55039. doi: 10.7759/cureus.55039. eCollection 2024 Feb. ABSTRACT Charcot spinal arthropathy (CSA) is a very rare condition that causes destruction and deformity of the spine due to impaired sensation. We report a case of an infected Charcot spine arthropathy (ICSA) treatment with spinal reconstruction surgery using a minimally invasive surgery (MIS) technique. A,

Cureus. 2024 Feb 27;16(2):e55039. doi: 10.7759/cureus.55039. eCollection 2024 Feb.

ABSTRACT

Charcot spinal arthropathy (CSA) is a very rare condition that causes destruction and deformity of the spine due to impaired sensation. We report a case of an infected Charcot spine arthropathy (ICSA) treatment with spinal reconstruction surgery using a minimally invasive surgery (MIS) technique. A 49-year-old man who had a spinal cord injury (SCI) at age 19 presented with a destructive lesion in the L2/3 and a fistula in his lower back. Spinal reconstruction surgery using a penetrating endplate screw, lateral lumbar interbody fusion (LLIF), and a computer-assisted rod bending system were performed. A CT scan taken six months after surgery showed bony fusion. Reconstruction of the destructive spine is necessary to control the infection and symptoms due to kyphotic deformity for ICSA. Although the treatment of ICSA generally requires a highly invasive approach, we have achieved good clinical results with minimally invasive reconstructive surgery.

PMID:38550485 | PMC:PMC10977157 | DOI:10.7759/cureus.55039

The London Spine Unit : most specialised spine facility on Harley Street UK

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Minimally Invasive Thoracic-Lumbar Stabilization Surgery for Infected Charcot Spine Arthropathy (ICSA) After Spinal Cord Injury

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Cureus. 2024 Feb 27;16(2):e55039. doi: 10.7759/cureus.55039. eCollection 2024 Feb. ABSTRACT Charcot spinal arthropathy (CSA) is a very rare condition that causes destruction and deformity of the spine due to impaired sensation. We report a case of an infected Charcot spine arthropathy (ICSA) treatment with spinal reconstruction surgery using a minimally invasive surgery (MIS) technique. A

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