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Wirbelsäulendeformitäten bei Parkinson

Ein Behandlungsvorschlag

Spinal deformity in Parkinson’s disease

A treatment proposal

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Zusammenfassung

Wirbelsäulendeformitäten bei Parkinson sind schwierig zu behandeln, wobei die Wirbelsäulenchirurgie bei guter Indikationsstellung unter Berücksichtigung aller Faktoren, welche die Parkinson-Erkrankung begleiten, eine gute Therapiemöglichkeit ist. Trotz größerem operativem Aufwand mit längerer Rehabilitationsphase ist die langstreckige Fusion wegen der geringeren Revisionsrate der kurzstreckigen Fusion vorzuziehen. Eine adäquate postoperative Rehabilitation und gute Patientenbetreuung ist für den Erfolg unerlässlich. Der Fallbericht zeigt eine erfolgreiche Behandlung einer Parkinson-Patientin mit Kamptokormie durch eine langstreckige Fusion.

Abstract

Spinal deformities in Parkinson’s disease are difficult to treat but with good indications, spinal surgery is a better treatment option taking into account all factors that accompany Parkinson’s disease. Despite greater operational time and cost expenditure with a long rehabilitation period, long stretch segmental fusion is preferable to short stretch segment fusion due to the lower revision rate. An adequate postoperative rehabilitation and good patient care is essential for success. This case illustrates successful treatment of a patient with Parkinson’s disease and camptocormia by long stretch segmental fusion.

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Literatur

  1. Aarsland D et al (1996) Frequency of dementia in Parkinson disease. Arch Neurol 53(6):538–542

    Article  PubMed  CAS  Google Scholar 

  2. Ashour R, Jankovic J (2006) Joint and skeletal deformities in Parkinson’s disease, multiple system atrophy and progressive supranuclear palsy. Mov Disord 21(11):1856–1863

    Article  PubMed  Google Scholar 

  3. Babat et al (2004) Spinal surgery in patients with Parkinson’s disease: construct failure and progressive deformity. SPINE 29(18):2006–2012

    Article  PubMed  Google Scholar 

  4. Cheerag D et al (2010) Spinal deformity and Parkinson disease: a treatment algorithm. Neurosurg Focus 28(3):E5

    Google Scholar 

  5. Rijk MC de et al (1997) Prevalence of parkinsonism and Parkinson’s disease in Europe: the EUROPARKINSON collaborative study. European community concerted action on the epidemiology of Parkinson’s disease. J Neurol Neurosurg Psychiatry 62(1):10–15

    Article  PubMed  Google Scholar 

  6. Invernizzi et al (2009) Osteoporosis in Parkinson’s disease. Parkinsonism Relat Disord 15(5):339–346

    Article  PubMed  Google Scholar 

  7. Kawamura M (2011) Social cognitive impairment is an integral part of Parkinson disease. Rinsho Shinkeigaku 5(1):1–5

    Article  Google Scholar 

  8. Tiple D (2009) Camptocormia in Parkinson disease: an epidemiological and clinical study. J Neurol Neurosurg Psychiatry 80(2):145–148

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Klinik für Orthopädische Chirurgie und Traumatologie, Kantonsspital St. Gallen, Rorschacherstraße 7, CH-9007, St. Gallen, Schweiz

    P. Sutter, T. Forster & F. Külling

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  1. P. Sutter
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  2. T. Forster
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  3. F. Külling
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Correspondence to P. Sutter.

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Sutter, P., Forster, T. & Külling, F. Wirbelsäulendeformitäten bei Parkinson. Unfallchirurg 116, 955–959 (2013). https://doi.org/10.1007/s00113-012-2271-3

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  • DOI: https://doi.org/10.1007/s00113-012-2271-3

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