&NA;A patient with Charcot's disease of the lumbar spine presented with weakness of one extremity. Myelographic and x‐ray film studies indicated stenosis and compression due to degenerative changes. Although decompression and fusion were considered, computed tomographic scans indicated the wide extent and location of the destructive changes. Nonoperative treatment was elected because of the high risk of fusion failure and instability. (Neurosurgery19:108‐110, 1986)