Komplikationsanalyse von spinalen Eingriffen bei adulten zentralen Bewegungsstörungen und Skoliosen

Abstract

In patients suffering from Parkinson's disease, even minor surgical interventions can lead to instability of whole spine segments or even the entire spine. Implant loosening, adjacent segment instability, general perioperative complications, and progressive malposture due to disease progress can bring forth disastrous treatment courses. Spinal fixation should be performed long-segmented in combination with ventral stabilisation. Due to osteoporosis, pedicle screw cement augmentation is recommended in this collective. If the diagnosis of Pisa syndrome is established, an optimised preoperative preparation should be initiated in close cooperation with neurologists. In many cases medical therapy is sufficient and surgical interventions can be avoided.

Pathophysiological Concepts and Treatment of Camptocormia

“…PD patients are a high-risk population in adult spinal surgery [150]. Surgical spine procedures increases the risk of a later formation of camptocormia [17] and minor surgical interventions in PD patients can lead to instability of the spine [146]. Specifically in PD camptocormia an imminent limitation is the adjacent segment instability after surgical correction of camptocormia leading again to an abnormal posture.…”