Management of spinal conditions in patients with Parkinson disease

Joseph F. Baker, Shearwood Mcclelland, Robert Hart, R. Shay Bess

Research output: Contribution to journalReview article

3 Citations (Scopus)

Abstract

Parkinson disease (PD) is increasingly prevalent in the aging population. Spine disorders in patients with PD may be degenerative in nature or may arise secondary to motor effects related to the parkinsonian disease process. Physicians providing care for patients with PD and spine pathologies must be aware of several factors that affect treatment, including the patterns of spinal deformity, complex drug interactions, and PD-associated osteoporosis. Following spine surgery, complication rates are higher in patients with PD than in those without the disease. Literature on spine surgery in this patient population is limited by small cohort size, the heterogeneous patient population, and variable treatment protocols. However, most studies emphasize the need for preoperative optimization of motor control with appropriate medications and deep brain stimulation, as well as consultation with a movement disorder specialist. Future studies must control for confounding variables, such as the type of surgery and PD severity, to improve understanding of spinal pathology and treatment options in this patient population.

Original languageEnglish (US)
Pages (from-to)e157-e165
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume25
Issue number8
DOIs
StatePublished - Aug 1 2017

Fingerprint

Parkinson Disease
Spine
Population
Pathology
Deep Brain Stimulation
Confounding Factors (Epidemiology)
Movement Disorders
Parkinsonian Disorders
Clinical Protocols
Drug Interactions
Osteoporosis
Patient Care
Referral and Consultation
Physicians
Therapeutics

Keywords

  • antecollis
  • camptocormia
  • Parkinson disease
  • Pisa syndrome
  • spinal deformity

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Management of spinal conditions in patients with Parkinson disease. / Baker, Joseph F.; Mcclelland, Shearwood; Hart, Robert; Bess, R. Shay.

In: Journal of the American Academy of Orthopaedic Surgeons, Vol. 25, No. 8, 01.08.2017, p. e157-e165.

Research output: Contribution to journalReview article

Baker, Joseph F. ; Mcclelland, Shearwood ; Hart, Robert ; Bess, R. Shay. / Management of spinal conditions in patients with Parkinson disease. In: Journal of the American Academy of Orthopaedic Surgeons. 2017 ; Vol. 25, No. 8. pp. e157-e165.
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