Silent spinal dislocation in a charcot spine occurring postlaminectomy: Case report and review of literature

Daryl L. Luke, Keith H. Bridwell

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

A 45-year-old man with transverse myelitis developed an unstable neuropathic spinal arthropathy manifesting as a “silent” L1-L2 dislocation after laminectomy and rhizotomies performed for increased spasticity. Treatment consisted of reduction, posterolateral spinal fusion with Cotrel-Dubousset instrumentation utilizing hooks and pedicular screws, and a posterior lumbar interbody fusion. The authors conclude that laminectomy on a chronic paralytic through the insensate area should be coupled with fusion and instrumentation even if the facet joints and capsules are preserved during the laminectomy.

Original languageEnglish
Pages (from-to)87-92
Number of pages6
JournalJournal of Spinal Disorders
Volume3
Issue number1
StatePublished - Mar 1990

Keywords

  • Charcot spine
  • Cotrel-dubousset instrumentation
  • Laminectomy
  • Pedicle screws
  • Rhizotomy

Fingerprint Dive into the research topics of 'Silent spinal dislocation in a charcot spine occurring postlaminectomy: Case report and review of literature'. Together they form a unique fingerprint.

  • Cite this