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KMID : 0361620200550040348
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Journal of the Korean Orthopaedic Association
2020 Volume.55 No. 4 p.348 ~ p.353
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Charcot Spinal Arthropathy with Extensive Vertebral Body Destruction and Cerebrospinal Fluid Collection: A Case Report Mimicking Infective Spondylitis
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Cho Kyu-Jung
Kim Yeo-Ju
Kim Young-Tae
Youn Yung-Hun
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Abstract
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A 68-year-old man presented with a bed sore with pus discharge on lower back. Radiographs showed extensive destruction of the L4 vertebral body. Magnetic resonance imaging (MRI) showed fluid collection with an enhanced wall at the defect of the L4 vertebral body extending into both psoas muscles. The primary diagnosis was neuropathic spondylopathy, but infective spondylitis was not ruled out. Initially, he was treated with antibiotics for two weeks. A follow-up MRI showed no improvement of the abscess, so surgical exploration was done. Charcot spinal arthropathy resulted in extensive vertebral body destruction that may be similar to infectious spondylitis, particularly in the case with fluid accumulation due to rupture of dura.
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KEYWORD
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Charcot's joint arthropathy, spondylitis, spinal cord injuries, lumbar vertebrae
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