Acute Spinal Cord Contusion in a Patient with Multiple Upper Cervical Fractures, Parkinson’s Disease, and Torticollis: Surgical Management
Case Report. Spine surgery in patients with Parkinson’s disease (PD) involves increased risk. We describe a case of cervical myelopathy in a patient with PD, multiple fractures involving the atlas and axis vertebrae, and spasmodic torticollis. The patient was successfully treated with an upper cervi...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2020/8897071 |
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| _version_ | 1832546888965947392 |
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| author | Sarah Merrill Maziyar A. Kalani Naresh P. Patel Mark K. Lyons Matthew T. Neal |
| author_facet | Sarah Merrill Maziyar A. Kalani Naresh P. Patel Mark K. Lyons Matthew T. Neal |
| author_sort | Sarah Merrill |
| collection | DOAJ |
| description | Case Report. Spine surgery in patients with Parkinson’s disease (PD) involves increased risk. We describe a case of cervical myelopathy in a patient with PD, multiple fractures involving the atlas and axis vertebrae, and spasmodic torticollis. The patient was successfully treated with an upper cervical decompression and occipital-cervical (OC) fusion surgery. Strategies for torticollis reduction and successful surgical outcome are discussed. Risks and benefits must be carefully weighed when considering occipital cervical fusion in PD patients. Conclusion. Intraoperative manual reduction of laterocollis is possible after general endotracheal anesthesia, and continuous neuromonitoring is established. Use of optimizing strategies such as perioperative botulinum injections and intraoperative O-arm navigation should be considered. |
| format | Article |
| id | doaj-art-8aefc80262f14ae392dffac817f69377 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-8aefc80262f14ae392dffac817f693772025-02-03T06:46:53ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/88970718897071Acute Spinal Cord Contusion in a Patient with Multiple Upper Cervical Fractures, Parkinson’s Disease, and Torticollis: Surgical ManagementSarah Merrill0Maziyar A. Kalani1Naresh P. Patel2Mark K. Lyons3Matthew T. Neal4Mayo Clinic Arizona, Department of Neurological Surgery, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USAMayo Clinic Arizona, Department of Neurological Surgery, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USAMayo Clinic Arizona, Department of Neurological Surgery, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USAMayo Clinic Arizona, Department of Neurological Surgery, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USAMayo Clinic Arizona, Department of Neurological Surgery, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USACase Report. Spine surgery in patients with Parkinson’s disease (PD) involves increased risk. We describe a case of cervical myelopathy in a patient with PD, multiple fractures involving the atlas and axis vertebrae, and spasmodic torticollis. The patient was successfully treated with an upper cervical decompression and occipital-cervical (OC) fusion surgery. Strategies for torticollis reduction and successful surgical outcome are discussed. Risks and benefits must be carefully weighed when considering occipital cervical fusion in PD patients. Conclusion. Intraoperative manual reduction of laterocollis is possible after general endotracheal anesthesia, and continuous neuromonitoring is established. Use of optimizing strategies such as perioperative botulinum injections and intraoperative O-arm navigation should be considered.http://dx.doi.org/10.1155/2020/8897071 |
| spellingShingle | Sarah Merrill Maziyar A. Kalani Naresh P. Patel Mark K. Lyons Matthew T. Neal Acute Spinal Cord Contusion in a Patient with Multiple Upper Cervical Fractures, Parkinson’s Disease, and Torticollis: Surgical Management Case Reports in Orthopedics |
| title | Acute Spinal Cord Contusion in a Patient with Multiple Upper Cervical Fractures, Parkinson’s Disease, and Torticollis: Surgical Management |
| title_full | Acute Spinal Cord Contusion in a Patient with Multiple Upper Cervical Fractures, Parkinson’s Disease, and Torticollis: Surgical Management |
| title_fullStr | Acute Spinal Cord Contusion in a Patient with Multiple Upper Cervical Fractures, Parkinson’s Disease, and Torticollis: Surgical Management |
| title_full_unstemmed | Acute Spinal Cord Contusion in a Patient with Multiple Upper Cervical Fractures, Parkinson’s Disease, and Torticollis: Surgical Management |
| title_short | Acute Spinal Cord Contusion in a Patient with Multiple Upper Cervical Fractures, Parkinson’s Disease, and Torticollis: Surgical Management |
| title_sort | acute spinal cord contusion in a patient with multiple upper cervical fractures parkinson s disease and torticollis surgical management |
| url | http://dx.doi.org/10.1155/2020/8897071 |
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