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

dc.contributor.author

Ha, Yoon

dc.contributor.author

Oh, Jae Keun

dc.contributor.author

Smith, Justin S

dc.contributor.author

Ailon, Tamir

dc.contributor.author

Fehlings, Michael G

dc.contributor.author

Shaffrey, Christopher I

dc.contributor.author

Ames, Christopher P

dc.date.accessioned

2023-07-20T17:19:06Z

dc.date.available

2023-07-20T17:19:06Z

dc.date.issued

2015-10

dc.date.updated

2023-07-20T17:18:57Z

dc.description.abstract

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.

dc.identifier

00006123-201510001-00017

dc.identifier.issn

0148-396X

dc.identifier.issn

1524-4040

dc.identifier.uri

https://hdl.handle.net/10161/28494

dc.language

eng

dc.publisher

Ovid Technologies (Wolters Kluwer Health)

dc.relation.ispartof

Neurosurgery

dc.relation.isversionof

10.1227/neu.0000000000000940

dc.subject

Humans

dc.subject

Spinal Curvatures

dc.subject

Scoliosis

dc.subject

Parkinson Disease

dc.subject

Movement Disorders

dc.subject

Muscular Atrophy, Spinal

dc.subject

Postoperative Complications

dc.subject

Treatment Outcome

dc.subject

Spinal Fusion

dc.subject

Reoperation

dc.subject

Aged

dc.subject

Disease Management

dc.title

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

dc.type

Journal article

duke.contributor.orcid

Shaffrey, Christopher I|0000-0001-9760-8386

pubs.begin-page

S173

pubs.end-page

S185

pubs.issue

4

pubs.organisational-group

Duke

pubs.organisational-group

School of Medicine

pubs.organisational-group

Clinical Science Departments

pubs.organisational-group

Orthopaedic Surgery

pubs.organisational-group

Neurosurgery

pubs.publication-status

Published

pubs.volume

77 Suppl 4

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Impact of Movement Disorders on Management of Spinal Deformity in the Elderly.pdf
Size:
746.66 KB
Format:
Adobe Portable Document Format