Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Multiple Spinal Revision Surgery in a Patient with Parkinson's Disease

  • Malla, Hridayesh Pratap (Department of Medicine, Graduate School, Kyung Hee University) ;
  • Kim, Min Ki (Department of Neurosurgery, VHS Medical Center) ;
  • Kim, Tae Sung (Department of Medicine, Graduate School, Kyung Hee University) ;
  • Jo, Dae Jean (Department of Neurosurgery, Kyung Hee University Hospital at Gangdong)
  • Received : 2015.01.29
  • Accepted : 2015.10.05
  • Published : 2016.11.01
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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.

Keywords

References

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