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Surgical Outcomes of Spine Disorders in Patients with Parkinson's Disease

Authors
 Sang-Hyuk Park ; Jae-Keun Oh ; Keung-Nyun Kim ; Do-Heum Yoon ; Yoon Ha ; Seong Yi ; Gwi-Hyun Choi ; Nam-Gyu Yu ; Hyo-Sang Lee ; Eui-Hyun Kim ; Tae-Yup Kim 
Citation
 Korean Journal of Spine, Vol.8(3) : 208~214, 2011 
Journal Title
 Korean Journal of Spine 
ISSN
 1738-2262 
Issue Date
2011
Abstract
PURPOSE: Patients with Parkinson's disease also commonly have movement disorders, osteoporosis, and other comorbidities. These patients are more likely to have complications after spinal surgery. The aim of the present study is to show the relation ship between complications of spinal surgery and Parkinson's disease. METHODS: A computerized search using diagnostic and procedural codes identified 13 patients with Parkinson's disease who underwent spinal surgery between January 1998 and December 2010. Their medical records and imaging studies were reviewed and recent updatesfor all patients were done by telephone interview. RESULTS: Retrospectively, 13 consecutive patients were reviewed. The mean age was 63.8 (range 44~87) years old and the mean durationof Parkinson's disease was 7.6 (range 1~22) years at the time of the index procedure. The mean T score of the lumbar spine on Dual-energy X-ray absorptiometry (DEXA) scan bone mineral density (BMD) was -2.5 (range -1.0~-5.1). These patients had nine lumbar lesions, two thoracic lesions, one cervical lesion, and one thoracolumbar lesion. Nine patients required no more surgical treatment for lesions which had been previously operated on (index level). However, four patients (30.8%) needed at least one more operation related to their index procedure; segmental degeneration on the adjacent levels in two, retropulsion of an intervertebral cage with screw loosening in one, and pedicle fracture in one. CONCLUSION: It has been reported that patients with Parkinson's disease have high complication rates in spinal surgery. Spine surgeons should be aware of the risk of complications and need to conduct careful follow-up after the surgery
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/94281
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Neurosurgery
Yonsei Authors
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