Posterior and Anterior Spinal Fusion for the Management of Deformities in Patients with Parkinson's Disease
Introduction. Spinal scoliosis and kyphosis in elderly people sometimes cause severe low back pain. Surgical methods such as osteotomy are useful for correcting the deformity. However, complications during and after surgery are associated with the osteotomy procedure. In particular, it is difficult...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2013/140916 |
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| author | Masashi Sato Takeshi Sainoh Sumihisa Orita Kazuyo Yamauchi Yasuchika Aoki Tetsuhiro Ishikawa Masayuki Miyagi Hiroto Kamoda Miyako Suzuki Gou Kubota Yoshihiro Sakuma Kazuhide Inage Yasuhiro Oikawa Junichi Nakamura Masashi Takaso Gen Inoue Tomoaki Toyone Kazuhisa Takahashi Seiji Ohtori |
| author_facet | Masashi Sato Takeshi Sainoh Sumihisa Orita Kazuyo Yamauchi Yasuchika Aoki Tetsuhiro Ishikawa Masayuki Miyagi Hiroto Kamoda Miyako Suzuki Gou Kubota Yoshihiro Sakuma Kazuhide Inage Yasuhiro Oikawa Junichi Nakamura Masashi Takaso Gen Inoue Tomoaki Toyone Kazuhisa Takahashi Seiji Ohtori |
| author_sort | Masashi Sato |
| collection | DOAJ |
| description | Introduction. Spinal scoliosis and kyphosis in elderly people sometimes cause severe low back pain. Surgical methods such as osteotomy are useful for correcting the deformity. However, complications during and after surgery are associated with the osteotomy procedure. In particular, it is difficult to manage deformity correction surgery for patients with Parkinson's disease. Here, we present two cases of combined anterior and posterior surgery for deformity in patients with adult scoliosis and kyphosis due to Parkinson's disease. Case Presentation. Two 70-year-old women had spinal scoliosis and kyphosis due to Parkinson's disease. They had severe low back pain, and conservative treatment was not effective for the pain. Surgery was planned to correct the deformity in both patients. We performed combined posterior and anterior correction surgery. At first, posterior fusions were performed from T4 to the ilium using pedicle screws. Next, cages and autograft from the iliac crest were used in anterior lumbar surgery. The patients became symptom free after surgery. Bony fusion was observed 12 months after surgery. Conclusions. Combined posterior and anterior fusion surgery is effective for patients who show scoliosis and kyphosis deformity, and symptomatic low back pain due to Parkinson's disease. |
| format | Article |
| id | doaj-art-f8dac91d6f0c4bb59deb91e0cb71e6b5 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-f8dac91d6f0c4bb59deb91e0cb71e6b52025-02-03T05:51:06ZengWileyCase Reports in Orthopedics2090-67492090-67572013-01-01201310.1155/2013/140916140916Posterior and Anterior Spinal Fusion for the Management of Deformities in Patients with Parkinson's DiseaseMasashi Sato0Takeshi Sainoh1Sumihisa Orita2Kazuyo Yamauchi3Yasuchika Aoki4Tetsuhiro Ishikawa5Masayuki Miyagi6Hiroto Kamoda7Miyako Suzuki8Gou Kubota9Yoshihiro Sakuma10Kazuhide Inage11Yasuhiro Oikawa12Junichi Nakamura13Masashi Takaso14Gen Inoue15Tomoaki Toyone16Kazuhisa Takahashi17Seiji Ohtori18Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Toho University Sakura Medical Center, Chiba 285-8741, JapanDepartment of Orthopaedic Surgery, Sanmu Medical Center, Chiba 289-1326, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Chiba Cancer Center, Chiba 260-8717, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Kitasato University, Tokyo 252-0375, JapanDepartment of Orthopaedic Surgery, Kitasato University, Tokyo 252-0375, JapanDepartment of Orthopaedic Surgery, Teikyo University Chiba Medical Center, Chiba 299-0111, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanDepartment of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, JapanIntroduction. Spinal scoliosis and kyphosis in elderly people sometimes cause severe low back pain. Surgical methods such as osteotomy are useful for correcting the deformity. However, complications during and after surgery are associated with the osteotomy procedure. In particular, it is difficult to manage deformity correction surgery for patients with Parkinson's disease. Here, we present two cases of combined anterior and posterior surgery for deformity in patients with adult scoliosis and kyphosis due to Parkinson's disease. Case Presentation. Two 70-year-old women had spinal scoliosis and kyphosis due to Parkinson's disease. They had severe low back pain, and conservative treatment was not effective for the pain. Surgery was planned to correct the deformity in both patients. We performed combined posterior and anterior correction surgery. At first, posterior fusions were performed from T4 to the ilium using pedicle screws. Next, cages and autograft from the iliac crest were used in anterior lumbar surgery. The patients became symptom free after surgery. Bony fusion was observed 12 months after surgery. Conclusions. Combined posterior and anterior fusion surgery is effective for patients who show scoliosis and kyphosis deformity, and symptomatic low back pain due to Parkinson's disease.http://dx.doi.org/10.1155/2013/140916 |
| spellingShingle | Masashi Sato Takeshi Sainoh Sumihisa Orita Kazuyo Yamauchi Yasuchika Aoki Tetsuhiro Ishikawa Masayuki Miyagi Hiroto Kamoda Miyako Suzuki Gou Kubota Yoshihiro Sakuma Kazuhide Inage Yasuhiro Oikawa Junichi Nakamura Masashi Takaso Gen Inoue Tomoaki Toyone Kazuhisa Takahashi Seiji Ohtori Posterior and Anterior Spinal Fusion for the Management of Deformities in Patients with Parkinson's Disease Case Reports in Orthopedics |
| title | Posterior and Anterior Spinal Fusion for the Management of Deformities in Patients with Parkinson's Disease |
| title_full | Posterior and Anterior Spinal Fusion for the Management of Deformities in Patients with Parkinson's Disease |
| title_fullStr | Posterior and Anterior Spinal Fusion for the Management of Deformities in Patients with Parkinson's Disease |
| title_full_unstemmed | Posterior and Anterior Spinal Fusion for the Management of Deformities in Patients with Parkinson's Disease |
| title_short | Posterior and Anterior Spinal Fusion for the Management of Deformities in Patients with Parkinson's Disease |
| title_sort | posterior and anterior spinal fusion for the management of deformities in patients with parkinson s disease |
| url | http://dx.doi.org/10.1155/2013/140916 |
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