Published online Jan 21, 2022. doi: 10.12998/wjcc.v10.i3.1077
Peer-review started: June 29, 2021
First decision: September 1, 2021
Revised: September 8, 2021
Accepted: December 22, 2021
Article in press: December 22, 2021
Published online: January 21, 2022
Core Tip: We report an unprecedented case of Charcot neuroarthropathy (CN) of the right hip associated with syringomyelia secondary to cervical spondylotic myelopathy (CSM). After comprehensive evaluation of the patient's condition, we performed right total hip arthroplasty. During the follow-up, the patient felt well clinically and could walk independently with a knee brace. We suggest a potential etiological association between CN and CSM complicated by syringomyelia, which reminds clinicians to actively carry out comprehensive physical and imaging examinations in patients with joint lesions, especially chronic shoulder neck pain, to rule out the possibility of this association. Detailed medical history acquisition and comprehensive examination play a crucial role in the early diagnosis of CN. Arthroplasty may no longer be an absolute contraindication to surgical treatment of CN. Reasonable selection of the surgical strategy can markedly improve the clinical symptoms and quality of life of patients.