{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:35:42Z","timestamp":1787754942860,"version":"build-2784847793"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We present a rare case of cervical Charcot disease that was diagnosed in a paraplegic patient by loss of function caudal to the original level of spinal cord injury. Clinical imaging, diagnosis, differentials, and operative management are discussed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Charcot disease of the cervical spine is rare and very difficult to diagnose in the paraplegic patient population. High clinical suspicion should be maintained in these patients who demonstrate any form of neurologic deterioration, mechanical instability, or change in spinal alignment. It is often necessary to rule out infection. Spinal decompression and surgical stabilization is the treatment of choice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.18.00362","type":"journal-article","created":{"date-parts":[[2019,11,27]],"date-time":"2019-11-27T19:24:45Z","timestamp":1574882685000},"page":"e0362-e0362","source":"Crossref","is-referenced-by-count":0,"title":["A Rare Case of Cervical Charcot After Spinal Cord Injury"],"prefix":"10.2106","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5741-9388","authenticated-orcid":false,"given":"Iyooh U","family":"Davidson","sequence":"first","affiliation":[{"name":"Cleveland Clinic Foundation, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0464-890X","authenticated-orcid":false,"given":"Daniel J.","family":"Quinones","sequence":"additional","affiliation":[{"name":"University Hospitals, Cleveland Medical Center, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4703-4817","authenticated-orcid":false,"given":"Colin M.","family":"Haines","sequence":"additional","affiliation":[{"name":"Virginia Spine Institute, Reston, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2642-9855","authenticated-orcid":false,"given":"Kevin L.","family":"Kilgore","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Case Western Reserve University School of Medicine, MetroHealth Medical Center, Cleveland, Ohio"},{"name":"Research Service, Louis Stokes VAMC, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1003-7539","authenticated-orcid":false,"given":"Michael W.","family":"Keith","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Case Western Reserve University School of Medicine, 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