Surgical correction of kyphosis in patients with camptocormia due to Parkinson's disease: a retrospective evaluation

Wadia, Pettarusp M; Tan, Gamaliel; Munhoz, Renato P.; Fox, Susan H.; Lewis, Stephen J.; Lang, Anthony E.

doi:10.1136/jnnp.2009.176198

Cited by 43 publications

(32 citation statements)

References 37 publications

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“…For orthopaedic surgical correction, all reports showed some benefit from surgery in terms of pain reduction and postural correction compared to the preoperative stage. 78100101 Only one report showed excellent results and the benefits were maintained at least 29 months after surgery. 100 However, the surgical procedure was complicated in all patients.…”

Section: Treatment Modalities For Camptocormiamentioning

confidence: 99%

Camptocormia in Parkinson's disease: definition, epidemiology, pathogenesis and treatment modalities

Srivanitchapoom

Hallett

2015

J Neurol Neurosurg Psychiatry

132

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Camptocormia is an axial postural deformity characterised by abnormal thoracolumbar spinal flexion. The symptom usually presents while standing, walking or exercising and is alleviated while sitting, lying in a recumbent position, standing against a wall or using walking support. There is no consensus on the degree of thoracolumbar flexion to define camptocormia. However, most authors usually use an arbitrary number of at least 45° flexion of the thoracolumbar spine when the individual is standing or walking. Aetiologies of camptocormia are heterogeneous, and Parkinson’s disease (PD) is one of its many causes. The prevalence of camptocormia in PD ranges from 3% to 18%. Central and peripheral mechanisms might both contribute to its pathogenesis. Although there is no established consensus for treatment of camptocormia in PD, there are non-pharmacological, pharmacological and surgical approaches that can be used.

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Section: Treatment Modalities For Camptocormiamentioning

confidence: 99%

Camptocormia in Parkinson's disease: definition, epidemiology, pathogenesis and treatment modalities

Srivanitchapoom

Hallett

2015

J Neurol Neurosurg Psychiatry

132

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“…Indeed, radiographic examinations clearly revealed the presence of severe osteoporosis and degenerative changes; however, after performing osteotomy with pedicle screw insertion from L1 to S1 along with iliac screws insertion, the sagittal balance was maintained, resulting in correction of the deformity. Both Bridwell et al4) and Wadia et al16) advocated for the use of PSO to gain further sagittal plane correction up to 30° to 40°. In a case report of camptocormia in PD, Peek et al11) emphasized the establishment of substantial forces on the caudal end for stability along with multiple fixation points and anterior column support while performing revision surgeries.…”

Section: Discussionmentioning

confidence: 99%

Multiple Spinal Revision Surgery in a Patient with Parkinson's Disease

Malla

Kim

et al. 2016

J Korean Neurosurg Soc

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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.

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“…One was complicated by deep infection; the other underwent revision surgery due to pseudoarthrosis and screw pull-out. Wadia et al [8] report two cases of camptocormia corrected with spinal fusion. The first patient had to undergo two revisions within a year of his index procedure due to hardware failure.…”

Section: Discussionmentioning

confidence: 99%

Spinal Surgery in Patients with Parkinson’s Disease: Unsatisfactory Results, Failure and Disappointment

Sapkas¹,

Lykomitros²,

Soultanis³

et al. 2014

TOORTHJ

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Previous studies on spinal surgery in PD patients report an exceptionally high rate of complications. Failure and re -operation are frequent outcomes. This is a retrospective case series with the aim of establishing the rate of complications in patients with concomitant Parkinson’s disease.Ten patients were subjected to spinal surgery from 2005 to 2009. The indications and type of operation varied. Cases of Failed Back Surgery and re-operation were sought. Follow – up was between 6 – 42 months. All 10 patients presented some clinical or radiological complication. The most common complications were screw pull – out and progressive spinal deformity. Re – operations were performed in 5 patients, while clinical and radiological results were poor in the majority of cases. Patients with Parkinson’s disease have a very high complication rate and often have to undergo revision surgery. This particular group of patients should be informed of the increased risk of failure and be closely followed – up on a regular basis.

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Surgical correction of kyphosis in patients with camptocormia due to Parkinson's disease: a retrospective evaluation

Cited by 43 publications

References 37 publications

Camptocormia in Parkinson's disease: definition, epidemiology, pathogenesis and treatment modalities

Camptocormia in Parkinson's disease: definition, epidemiology, pathogenesis and treatment modalities

Multiple Spinal Revision Surgery in a Patient with Parkinson's Disease

Spinal Surgery in Patients with Parkinson’s Disease: Unsatisfactory Results, Failure and Disappointment

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