Charcot spine, also known as neuropathic spinal arthropathy and Charcot spinal arthropathy, is a rare and potentially devastating consequence of spinal cord injury. Treatment of this condition ranges from observation, immobilization with bracing or jacket, or surgical stabilization. A 52-year-old male, with a history of a C6-7 spinal cord injury over 30 years ago, presented to our hospital with
... [Show full abstract] complaints of worsening of his chronic low back pain over the prior 6 months. His pain was exacerbated with movement, and he also found it more difficult to sit up straight in his wheelchair. MR imaging of the spine demonstrated the large fluid collection with transection of the thecal sac and spinal cord at T10-11, along with the prior known spinal cord injury at C6-7. Given the patient’s clinical presentation and signs of progressive degenerative changes with worsening kyphosis, the patient underwent a T7- L3 posterior instrumented fusion for stabilization. Through the same incision, an extracavitary approach was utilized for placement of an expandable titanium case for anterior column support. After the operation, he experienced a significant reduction in pain and noted improved posture in his wheelchair