Charcot Arthropathy of the Spine.

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Abstract

[Indexed for MEDLINE] 2. Clin Podiatr Med Surg. 2022 Oct;39(4):571-584. doi: 10.1016/j.cpm.2022.05.004. Epub 2022 Aug 26. Nondiabetic Charcot Neuroarthropathy: Evaluation and Treatment. Wagler EC(1). Author information: (1)Department of Podiatry and Foot & Ankle Surgery, The Vancouver Clinic, 501 Southeast 172nd Avenue, Vancouver, WA 98684, USA. Electronic address: ecwagler@gmail.com. There are many similarities between nondiabetic and diabetic Charcot neuroarthropathy (CN) but many of the underlying causes causing nondiabetic neuropathy and CN are associated with poor bone quality. Patient workup for nondiabetic CN should include the underlying cause of the neuropathy and optimization of bony healing, such as vitamin D supplementation and bisphosphonate or calcitonin administration. Surgical reconstruction should include the most robust fixation possible, as nondiabetic patients with CN are more prone to delayed union. Copyright © 2022 Elsevier Inc. All rights reserved. DOI: 10.1016/j.cpm.2022.05.004