Impact of Movement Disorders on Management of Spinal Deformity in the Elderly.

Journal Article (Journal Article;Review)

Spinal deformities are frequent and disabling complications of movement disorders such as Parkinson disease and multiple system atrophy. The most distinct spinal deformities include camptocormia, antecollis, Pisa syndrome, and scoliosis. Spinal surgery has become lower risk and more efficacious for complex spinal deformities, and thus more appealing to patients, particularly those for whom conservative treatment is inappropriate or ineffective. Recent innovations and advances in spinal surgery have revolutionized the management of spinal deformities in elderly patients. However, spinal deformity surgeries in patients with Parkinson disease remain challenging. High rates of mechanical complications can necessitate revision surgery. The success of spinal surgery in patients with Parkinson disease depends on an interdisciplinary approach, including both surgeons and movement disorder specialists, to select appropriate surgical patients and manage postoperative movement in order to decrease mechanical failures. Achieving appropriate correction of sagittal alignment with strong biomechanical instrumentation and bone fusion is the key determinant of satisfactory results.

Full Text

Duke Authors

Cited Authors

  • Ha, Y; Oh, JK; Smith, JS; Ailon, T; Fehlings, MG; Shaffrey, CI; Ames, CP

Published Date

  • October 2015

Published In

Volume / Issue

  • 77 Suppl 4 /

Start / End Page

  • S173 - S185

PubMed ID

  • 26378355

Electronic International Standard Serial Number (EISSN)

  • 1524-4040

Digital Object Identifier (DOI)

  • 10.1227/NEU.0000000000000940


  • eng

Conference Location

  • United States