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Surgical correction of kyphosis in patients with camptocormia due to Parkinson's disease: a retrospective evaluation
  1. Pettarusp M Wadia1,
  2. Gamaliel Tan2,
  3. Renato P Munhoz1,
  4. Susan H Fox1,
  5. Stephen J Lewis2,
  6. Anthony E Lang1
  1. 1Movement Disorders Centre, Division of Neurology, Toronto Western Hospital, University of Toronto, Toronto, Canada
  2. 2Division of Orthopedic Surgery, University of Toronto, and the Spinal Program, Toronto Western Hospital, Toronto, Canada
  1. Correspondence toDr Anthony E Lang, 399 Bathurst Street, MC-7-402, Toronto Western Hospital, Toronto, Ontario M5T 2S8, Canada

Abstract

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.

  • Parkinson's disease

https://doi.org/10.1136/jnnp.2009.176198

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Ethics approval Ethics approval was provided by the research ethics board, University of Toronto.

    • Provenance and peer review Not commissioned; externally peer reviewed.