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The Journal of Bone and Joint Surgery 79:1235-9 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.

Case Report

Neuropathic Spinal Arthropathy in Charcot-Marie-Tooth Disease. A Case Report*

NEEL ANAND, M.D., M.S.(ORTH), M.CH.(ORTH){dagger}, DAVID B. LEVINE, M.D.{ddagger}, STEPHEN BURKE, M.D.{ddagger} and MANJULA BANSAL, M.D.{ddagger}, NEW YORK, N.Y.

Investigation performed at The Hospital for Special Surgery, New York City


   Introduction
 
Neuropathic arthropathy occurs most often in the weight-bearing joints in association with diseases in which there is impairment of the efferent sensory input from joint receptors. This leads to characteristic fragmentation of the articular cartilage and osteophytosis. These changes also are seen in the spine in association with syphilis and fractures of the spine2,15,19,22,24. One of the most difficult problems in orthopaedics is the treatment of a Charcot joint, especially when the goal is to obtain a solid fusion. The purpose of this report is to describe the treatment of kyphoscoliosis associated with spinal arthropathy in a forty-five-year-old man who had Charcot-Marie-Tooth disease, a hereditary motor and sensory neuropathy.


   Case Report
 
A forty-five-year-old man was admitted to the hospital with a two-year history of progressive left-sided posterior thoracic and intercostal pain. Narcotic medications were necessary to relieve the pain, which had prevented the patient from playing and teaching the trumpet for . . . [Full Text of this Article]


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