Multiple Spinal Revision Surgery in a Patient with Parkinson's Disease.
10.3340/jkns.2016.59.6.655
- Author:
Hridayesh Pratap MALLA
1
;
Min Ki KIM
;
Tae Sung KIM
;
Dae Jean JO
Author Information
1. Department of Medicine, Graduate School, Kyung Hee University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Parkinson's disease;
Flat back syndrome;
Deformity;
Complication
- MeSH:
Aged;
Congenital Abnormalities;
Decompression;
Humans;
Neurologic Manifestations;
Parkinson Disease*;
Postoperative Complications;
Surgeons
- From:Journal of Korean Neurosurgical Society
2016;59(6):655-658
- CountryRepublic of Korea
- Language:English
-
Abstract:
Parkinson's disease (PD) patients frequently have several spinal deformities leading to postural instabilities including camptocormia, myopathy-induced postural deformity, Pisa syndrome, and progressive degeneration, all of which adversely affect daily life activities. To improve these postural deformities and relieve the related neurologic symptoms, patients often undergo spinal instrumentation surgery. Due to progressive degenerative changes related to PD itself and other complicating factors, patients and surgeons are faced with instrument failure-related complications, which can ultimately result in multiple revision surgeries yielding various postoperative complications and morbidities. Here, we report a representative case of a 70-year-old PD patient with flat back syndrome who had undergone several revision surgeries, including anterior and posterior decompression and fusion for a lumbosacral spinal deformity. The patient ultimately benefitted from a relatively short segment fixation and corrective fusion surgery.
