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Surgical outcome of lumbar fusion surgery in patients with Parkinson disease

Authors
 Moon, Seong-Hwan  ;  Lee, Hwan-Mo  ;  Chun, Heoung-Jae  ;  Kang, Kyoung-Tak  ;  Kim, Hak-Sun  ;  Park, Jin-Oh  ;  Moon, Eun-Su  ;  Chong, Hyon-Su  ;  Sohn, Joon-Seok  ;  Kim, Ho-Joong 
Citation
 JOURNAL OF SPINAL DISORDERS & TECHNIQUES, Vol.25(7) : 351-355, 2012 
Journal Title
 JOURNAL OF SPINAL DISORDERS & TECHNIQUES 
ISSN
 1536-0652 
Issue Date
2012
MeSH
Aged ; Aged, 80 and over ; Female ; Humans ; Low Back Pain/surgery* ; Lumbar Vertebrae/surgery* ; Male ; Middle Aged ; Pain Measurement ; Parkinson Disease/surgery* ; Spinal Fusion/instrumentation ; Spinal Fusion/methods* ; Treatment Outcome
Keywords
Parkinson disease ; lumbar fusion surgery ; surgical outcome
Abstract
STUDY DESIGN: Retrospective study. OBJECTIVES: To investigate the overall surgical outcome of lumbar fusion surgery in patients with Parkinson disease (PD). SUMMARY OF BACK GROUND DATA: Poor bone quality and muscular dysfunction are important clinical manifestations connected with musculoskeletal diseases in PD patients. These secondary changes caused by PD often result in spinal pathology, indicating spine operations for some patients with scoliosis, kyphosis, osteoporotic fracture, or degenerative spondylosis. However, little is known about the surgical outcome or prognosis of spine surgery in PD patients. METHODS: Lumbar fusion surgery was performed on 20 patients who had PD and degenerative spinal diseases. At the time of lumbar fusion surgery, the mean duration of PD, age, sex, the preoperative visual analog pain scale (VAS, 0 to 100 mm) for low back pain, Hoehn and Yahr staging, and other comorbidities were evaluated. Patients' postoperative clinical outcome was measured using the criteria of Kim and Kim and VAS for back pain. Radiographic assessment was made using plain films and a dynamogram. RESULTS: At the time of the spine surgery, Hoehn and Yahr staging of PD was from 1 to 2 in all patients. Only 1 patient had a satisfactory outcome; a good result according to Kim and Kim's criteria. The average postoperative VAS (mm) was 55.2, whereas the mean preoperative VAS (mm) was 53.9. Radiological assessment showed fusion status in 15 patients and probably no solid fusion mass in 5 patients. CONCLUSIONS: A poor surgical outcome would be inevitable because of the worsening of symptoms owing to the natural history of PD. Therefore, our current study suggested surgical indication should be exercised cautiously in the patients with PD and spinal stenosis.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00024720-201210000-00001&LSLINK=80&D=ovft
DOI
21685805
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hak Sun(김학선) ORCID logo https://orcid.org/0000-0002-8330-4688
Kim, Ho Joong(김호중)
Moon, Seong Hwan(문성환)
Moon, Eun Su(문은수)
Park, Jin Oh(박진오)
Lee, Hwan Mo(이환모) ORCID logo https://orcid.org/0000-0002-5405-3832
Chong, Hyon Su(정현수)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91094
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