Surgical correction of kyphosis in patients with camptocormia due to Parkinson's disease: a retrospective evaluation
Surgical correction of kyphosis in patients with camptocormia due to Parkinson's disease: a retrospective evaluation
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DOI：
10.1136/jnnp.2009.176198
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发表时间：
2011-04-01
影响因子：
11
通讯作者：
Lang, Anthony E.
中科院分区：
文献类型：
--
作者：
Wadia, Pettarusp M.;Tan, Gamaliel;Lang, Anthony E.
躯干弯曲症或“脊柱弯曲综合征”是帕金森病的一种罕见表现。姿势畸形可能是残疾的一个重要来源。躯干弯曲症通常对多巴胺能药物无反应。脑深部电刺激治疗躯干弯曲症的效果好坏参半，但总体上效果较差。作者报告了两例帕金森病患者的躯干弯曲症，采用脊柱矫正手术治疗。尽管术后病程延长，包括高并发症发生率和多次翻修的需要，但两例患者均从手术中受益。
Camptocormia or 'bent spine syndrome' is a rare manifestation of Parkinson's disease. The postural deformity can be a great source of disability. Camptocormia is typically not responsive to dopaminergic medication. Results with deep brain stimulation to treat camptocormia have been mixed but generally poor. The authors report two cases of camptocormia in Parkinson's disease treated with spinal corrective surgery. Despite prolonged postoperative courses, including a high complication rate and the need for multiple revisions, both patients benefited from the procedures.