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Spine
Diagnosis
Degenerative Diseases and Arthritides
Inflammatory, Crystalline, and Miscellaneous Arthritides
Neurogenic (Charcot) Arthropathy
Neurogenic (Charcot) Arthropathy
Jeffrey S. Ross, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Neuropathic spine, neuropathic arthropathy

            • Definitions

              • Destructive arthropathy occurring when pain and proprioception are impaired while joint mobility is maintained

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Nuclear Medicine Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Lee D et al: Charcot spinal arthropathy. J Craniovertebr Junction Spine. 9(1):9-19, 2018
                                          2. Staudt MD et al: Charcot spinal arthropathy in patients with congenital insensitivity to pain: a report of two cases and review of the literature. Neurosurg Rev. 41(4):899-908, 2018
                                          3. Ledbetter LN et al: Spinal neuroarthropathy: pathophysiology, clinical and imaging features, and differential diagnosis. Radiographics. 150121, 2016
                                          4. Aebli N et al: Characteristics and surgical management of neuropathic (Charcot) spinal arthropathy after spinal cord injury. Spine J. 14(6):884-91, 2014
                                          5. Jacobs WB et al: Surgical management of Charcot spinal arthropathy: a single-center retrospective series highlighting the evolution of management. J Neurosurg Spine. 17(5):422-31, 2012
                                          6. Haus BM et al: Long-term follow-up of the surgical management of neuropathic arthropathy of the spine. Spine J. 10(6):e6-e16, 2010
                                          7. Hong J et al: Complications in the management of Charcot spinal arthropathy. J Neurosurg Spine. 11(3):365-8, 2009
                                          8. Morita M et al: Charcot spinal disease after spinal cord injury. J Neurosurg Spine. 9(5):419-26, 2008
                                          9. Wagner SC et al: Can imaging findings help differentiate spinal neuropathic arthropathy from disk space infection? Initial experience. Radiology. 214(3):693-9, 2000
                                          10. Palestro CJ et al: Radionuclide imaging in orthopedic infections. Semin Nucl Med. 27(4):334-45, 1997
                                          11. Standaert C et al: Charcot spine as a late complication of traumatic spinal cord injury. Arch Phys Med Rehabil. 78(2):221-5, 1997
                                          12. Arnold PM et al: Surgical management of lumbar neuropathic spinal arthropathy (Charcot joint) after traumatic thoracic paraplegia: report of two cases. J Spinal Disord. 8(5):357-62, 1995
                                          13. Heggeness MH: Charcot arthropathy of the spine with resulting paraparesis developing during pregnancy in a patient with congenital insensitivity to pain. A case report. Spine. 19(1):95-8, 1994
                                          14. Park YH et al: Imaging findings in spinal neuroarthropathy. Spine. 19(13):1499-504, 1994
                                          15. Montgomery TJ et al: Traumatic neuropathic arthropathy of the spine. Orthop Rev. 22(10):1153-7, 1993
                                          16. Harrison MJ et al: Spinal Charcot arthropathy. Neurosurgery. 28(2):273-7, 1991
                                          17. Crim JR et al: Spinal neuroarthropathy after traumatic paraplegia. AJNR Am J Neuroradiol. 9(2):359-62, 1988
                                          18. Kalen V et al: Charcot arthropathy of the spine in long-standing paraplegia. Spine. 12(1):42-7, 1987
                                          19. Fishel B et al: Multiple neuropathic arthropathy in a patient with syphilis. Clin Rheumatol. 4(3):348-52, 1985
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Abbreviations

                                                      • Neuropathic spine, neuropathic arthropathy

                                                    • Definitions

                                                      • Destructive arthropathy occurring when pain and proprioception are impaired while joint mobility is maintained

                                                    IMAGING

                                                    • General Features

                                                      • Radiographic Findings

                                                        • CT Findings

                                                          • MR Findings

                                                            • Nuclear Medicine Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Gross Pathologic & Surgical Features

                                                                      • Microscopic Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Lee D et al: Charcot spinal arthropathy. J Craniovertebr Junction Spine. 9(1):9-19, 2018
                                                                                  2. Staudt MD et al: Charcot spinal arthropathy in patients with congenital insensitivity to pain: a report of two cases and review of the literature. Neurosurg Rev. 41(4):899-908, 2018
                                                                                  3. Ledbetter LN et al: Spinal neuroarthropathy: pathophysiology, clinical and imaging features, and differential diagnosis. Radiographics. 150121, 2016
                                                                                  4. Aebli N et al: Characteristics and surgical management of neuropathic (Charcot) spinal arthropathy after spinal cord injury. Spine J. 14(6):884-91, 2014
                                                                                  5. Jacobs WB et al: Surgical management of Charcot spinal arthropathy: a single-center retrospective series highlighting the evolution of management. J Neurosurg Spine. 17(5):422-31, 2012
                                                                                  6. Haus BM et al: Long-term follow-up of the surgical management of neuropathic arthropathy of the spine. Spine J. 10(6):e6-e16, 2010
                                                                                  7. Hong J et al: Complications in the management of Charcot spinal arthropathy. J Neurosurg Spine. 11(3):365-8, 2009
                                                                                  8. Morita M et al: Charcot spinal disease after spinal cord injury. J Neurosurg Spine. 9(5):419-26, 2008
                                                                                  9. Wagner SC et al: Can imaging findings help differentiate spinal neuropathic arthropathy from disk space infection? Initial experience. Radiology. 214(3):693-9, 2000
                                                                                  10. Palestro CJ et al: Radionuclide imaging in orthopedic infections. Semin Nucl Med. 27(4):334-45, 1997
                                                                                  11. Standaert C et al: Charcot spine as a late complication of traumatic spinal cord injury. Arch Phys Med Rehabil. 78(2):221-5, 1997
                                                                                  12. Arnold PM et al: Surgical management of lumbar neuropathic spinal arthropathy (Charcot joint) after traumatic thoracic paraplegia: report of two cases. J Spinal Disord. 8(5):357-62, 1995
                                                                                  13. Heggeness MH: Charcot arthropathy of the spine with resulting paraparesis developing during pregnancy in a patient with congenital insensitivity to pain. A case report. Spine. 19(1):95-8, 1994
                                                                                  14. Park YH et al: Imaging findings in spinal neuroarthropathy. Spine. 19(13):1499-504, 1994
                                                                                  15. Montgomery TJ et al: Traumatic neuropathic arthropathy of the spine. Orthop Rev. 22(10):1153-7, 1993
                                                                                  16. Harrison MJ et al: Spinal Charcot arthropathy. Neurosurgery. 28(2):273-7, 1991
                                                                                  17. Crim JR et al: Spinal neuroarthropathy after traumatic paraplegia. AJNR Am J Neuroradiol. 9(2):359-62, 1988
                                                                                  18. Kalen V et al: Charcot arthropathy of the spine in long-standing paraplegia. Spine. 12(1):42-7, 1987
                                                                                  19. Fishel B et al: Multiple neuropathic arthropathy in a patient with syphilis. Clin Rheumatol. 4(3):348-52, 1985