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Updated: Jul 16, 2026

A Spine Robotic-Assisted Navigation System for Pedicle Screw Placement
Published on: May 11, 2020
Reconstruction of the Charcot Spine with a Vascularized Pedicle: A Report of 3 Cases
Nicholas Schaper1, Alexander Hoffman1, Catherine Wittgen1,2
1Saint Louis University School of Medicine, St. Louis, Missouri.
Case:
We present 3 patients with Charcot spinal arthropathy (CSA) as a result of previous spine trauma treated initially with spinal instrumentation. All developed CSA in a delayed presentation years after the original injury and surgery. All were reconstructed with anterior and posterior surgery. In each case, the anterior reconstruction was supplemented with a vascularized pedicle graft.
Conclusion:
All 3 patients went on to fusion after previously demonstrated bone loss after a vascularized pedicle was used.

