Thoracolumbar spinal fixation for camptocormia in Parkinson’s disease
- 1National Hospital for Neurology and Neurosurgery, London, UK
- 2UCL Institute of Neurology, London, UK
- Correspondence to Mr A T H Casey, National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UK; athcasey{at}doctors.org.uk
- Received 29 April 2008
- Revised 9 November 2008
- Accepted 25 November 2008
Abstract
A man with early non-fluctuating Parkinson’s disease developed disabling camptocormia. The patient was treated with posterior thoracolumbar fixation, which subsequently had to be augmented with anterior interbody fusion. Although the patient ultimately achieved excellent sagittal correction, his postoperative course was complicated and prolonged. Therefore, although this case demonstrates that spinal fixation surgery can be successful, it should probably only be offered after subthalamic nucleus deep brain stimulation has been unsuccessful, or for well motivated patients who express a strong wish for this major reconstructive surgery.
Footnotes
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Competing interests None.
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Patient consent Obtained.
