Universität zu Köln

Siewe, J., Zarghooni, K., Roellinghoff, M., Herren, C., Koy, T., Eysel, P. and Sobottke, R. (2013). Complication Analysis of Spinal Interventions in Adult Central Movement Disorders and Scoliosis. Z. Orthop. Unfallchir., 151 (5). S. 454 - 463. NEW YORK: THIEME MEDICAL PUBL INC. ISSN 1864-6743

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Abstract

Background: Adult central movement disorders, malpostures, and scolioses can have their cause in various neurological underlying diseases such as Morbus Parkinson, Pisa syndrome, or segmental dystonia. Important clinical characteristics are marked postural distortions such as camptocormia (bent spine) or laterocollis. In cases of these adult scolioses, surgical spine treatment puts high demands on the surgeon. Surgery in Parkinsons disease, for example, is associated with serious surgery-specific as well as general complications. The more rarely occurring Pisa syndrome is an entity primarily requiring medical therapy. Patients and Methods: A series of ten case reports of patients with Morbus Parkinson and Pisa syndrome who underwent spinal surgery is presented and discussed. From these reports, treatment recommendations have been derived and complemented by references from the literature. An extensive MEDLINE search was performed for this purpose. Results and Conclusion: In patients suffering from Parkinsons disease, even minor surgical interventions can lead to instability of whole spine segments or even the entire spine. Implant loosening, adjacent segment instability, general perioperative complications, and progressive malposture due to disease progress can bring forth disastrous treatment courses. Spinal fixation should be performed long-segmented in combination with ventral stabilisation. Due to osteoporosis, pedicle screw cement augmentation is recommended in this collective. If the diagnosis of Pisa syndrome is established, an optimised preoperative preparation should be initiated in close cooperation with neurologists. In many cases medical therapy is sufficient and surgical interventions can be avoided.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Siewe, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Zarghooni, K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Roellinghoff, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Herren, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Koy, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Eysel, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Sobottke, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-474808
DOI:	10.1055/s-0032-1328664
Journal or Publication Title:	Z. Orthop. Unfallchir.
Volume:	151
Number:	5
Page Range:	S. 454 - 463
Date:	2013
Publisher:	THIEME MEDICAL PUBL INC
Place of Publication:	NEW YORK
ISSN:	1864-6743
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language REVERSIBLE PISA-SYNDROME; PARKINSONS-DISEASE; CHOLINESTERASE INHIBITOR; SYNDROME PLEUROTHOTONUS; CAMPTOCORMIA; DEFORMITIES; MANAGEMENT; SURGERY; SYSTEM Multiple languages Orthopedics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/47480