{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T10:16:28Z","timestamp":1792059388713,"version":"4.4.0"},"reference-count":29,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2005,4]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 Charcot spinal arthropathy has been described as a late complication of spinal cord injury. In patients with these injuries in whom the spine below the level of injury is insensate, joint trauma can progress until spinal instability ensues. The authors describe the case of a 50-year-old man with complete C-8 tetraplegia who experienced a 4-month history of episodic severe headaches, profuse sweating over his face and arms, and episodic severe hypertension in addition to a \u201cgrinding\u201d sensation in the lower back. Charcot arthropathy at the T11\u201312 levels with pathological mobility was demonstrated on neuroimaging. Intraoperatively, a complete spinal cord transection was identified. Anterior and posterior thoracolumbar fusion across the mobile segment resulted in complete amelioration of signs and symptoms of autonomic dysreflexia. This entity, a common condition in the setting of spinal cord injury, has many triggers. Definitive treatment is targeted at the removal of the underlying cause. As demonstrated here, Charcot spinal arthropathy can act as a powerful trigger for induction of autonomic dysreflexia. Treatment of the associated spinal instability resulted in eradication of all signs and symptoms of the dysreflexia.<\/jats:p>","DOI":"10.3171\/spi.2005.2.4.0476","type":"journal-article","created":{"date-parts":[[2009,5,7]],"date-time":"2009-05-07T16:05:47Z","timestamp":1241712347000},"page":"476-480","source":"Crossref","is-referenced-by-count":23,"title":["Charcot arthropathy in relation to autonomic dysreflexia in spinal cord injury"],"prefix":"10.3171","volume":"2","author":[{"given":"A. Alex","family":"Mohit","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sohail","family":"Mirza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"James","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Goodkin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1093\/brain\/83.3.381","volume":"83","author":"Baxter D","year":"1960","journal-title":"Brain"},{"key":"b2","first-page":"317","volume":"73","author":"Bowlby A","year":"1890","journal-title":"Med Chir Tr"},{"key":"b3","doi-asserted-by":"crossref","first-page":"S103","DOI":"10.1097\/00007632-199206001-00007","volume":"17","author":"Brown CW","year":"1992","journal-title":"Spine"},{"key":"b4","first-page":"359","volume":"9","author":"Crim JR","year":"1988","journal-title":"AJNR"},{"key":"b5","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1136\/jnnp.62.5.473","volume":"62","author":"Curt A","year":"1997","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"b6","first-page":"189","volume":"56","author":"Delano P","year":"1946","journal-title":"AJR"},{"key":"b7","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199208000-00017"},{"key":"b8","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1093\/brain\/70.4.361","volume":"70","author":"Guttman L","year":"1947","journal-title":"Brain"},{"key":"b9","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1302\/0301-620X.48B1.4","volume":"48","author":"Harris JR","year":"1966","journal-title":"J Bone Joint Surg Br"},{"key":"b10","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1227\/00006123-199102000-00015","volume":"28","author":"Harrison MJ","year":"1991","journal-title":"Neurosurgery"},{"key":"b11","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199001000-00017"},{"key":"b12","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2106\/00004623-196749010-00001","volume":"49","author":"Johnson J","year":"1953","journal-title":"J Bone Joint Surg Am"},{"key":"b13","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1097\/00007632-198701000-00008","volume":"12","author":"Kalen V","year":"1987","journal-title":"Spine"},{"key":"b14","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1097\/00004728-198707000-00041","volume":"11","author":"Kapila A","year":"1987","journal-title":"J Comput Assist Tomogr"},{"key":"b15","doi-asserted-by":"crossref","first-page":"1711","DOI":"10.1093\/brain\/121.9.1711","volume":"121","author":"Karlsson AK","year":"1998","journal-title":"Brain"},{"key":"b16","first-page":"5","volume":"7","author":"Kronig G","year":"1884","journal-title":"Zeit Klin Med"},{"key":"b17","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1097\/00002517-199106000-00012","volume":"4","author":"McBride GG","year":"1991","journal-title":"J Spinal Disord"},{"key":"b18","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1969.30.1.0055"},{"key":"b19","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198908000-00024"},{"key":"b20","first-page":"55","volume":"8","author":"Mitchell J","year":"1931","journal-title":"Am J Med Sci"},{"key":"b21","doi-asserted-by":"crossref","first-page":"1295","DOI":"10.1001\/jama.1973.03220230055020","volume":"224","author":"Moeller BA","year":"1973","journal-title":"JAMA"},{"key":"b22","first-page":"1153","volume":"22","author":"Montgomery TJ","year":"1993","journal-title":"Orthop Rev"},{"key":"b23","first-page":"365","volume":"20","author":"Perkash I","year":"1997","journal-title":"J Spinal Cord Med"},{"key":"b24","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3101345"},{"key":"b25","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.2106\/00004623-197860070-00028","volume":"60","author":"Slabaugh PB","year":"1978","journal-title":"J Bone Joint Surg Am"},{"key":"b26","doi-asserted-by":"crossref","first-page":"771","DOI":"10.2106\/00004623-198567050-00012","volume":"67","author":"Sobel JW","year":"1985","journal-title":"J Bone Joint Surg Am"},{"key":"b27","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(97)90267-7"},{"key":"b28","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3101211"},{"key":"b29","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198011000-00012"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/2\/4\/article-p476.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/2\/4\/article-p476.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,13]],"date-time":"2020-11-13T23:37:55Z","timestamp":1605310675000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/2\/4\/article-p476.xml"}},"subtitle":["Case report and review of the literature"],"short-title":[],"issued":{"date-parts":[[2005,4]]},"references-count":29,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.3171\/spi.2005.2.4.0476","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2005,4]]}}}