Reconstruction of the Charcot Spine with a Vascularized Pedicle: A Report of 3 Cases.

CASE: We present 3 patients with Charcot spinal arthropathy (CSA) as a result of previous spine trauma treated initially with spinal instrumentation. All developed CSA in a delayed presentation years after the original injury and surgery. All were reconstructed with anterior and posterior surgery. In each case, the anterior reconstruction was supplemented with a vascularized pedicle graft.

CONCLUSION

All 3 patients went on to fusion after previously demonstrated bone loss after a vascularized pedicle was used.