Abstract

A 63-year-old men presented with the chief complaint of weakness in the legs for 2 months, difficulty in walking and spasticity of the lower extremities. Magnetic Resonance Imaging of the thoracal vertebrae demonstrated infiltrative lesion of T6–T7 vertebrae, possible infection. Corpectomy, of T6–T7 with T5–8 instrumentation was performed and histologic examination of the surgical specimens revealed a granulamatous reaction. He had a painless deformity of his ankle which had been present for the last 2 years. Radiographic examination displayed extensive destruction of the ankle joint. Realignment and tibiocalcaneal arthrodesis was performed with multiple cancellous screws. The histology was consistent with Charcot arthropathy.

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