Surgical outcome of lumbar fusion surgery in patients with Parkinson disease

Seong Hwan Moon, Hwan Mo Lee, Heoung Jae Chun, Kyoung Tak Kang, Hak Sun Kim, Jin Oh Park, Eun Su Moon, Hyon Su Chong, Joon Seok Sohn, Ho Joong Kim

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

STUDY DESIGN: Retrospective study. OBJECTIVES: To investigate the overall surgical outcome of lumbar fusion surgery in patients with Parkinson disease (PD). SUMMARY OF BACK GROUND DATA: Poor bone quality and muscular dysfunction are important clinical manifestations connected with musculoskeletal diseases in PD patients. These secondary changes caused by PD often result in spinal pathology, indicating spine operations for some patients with scoliosis, kyphosis, osteoporotic fracture, or degenerative spondylosis. However, little is known about the surgical outcome or prognosis of spine surgery in PD patients. METHODS: Lumbar fusion surgery was performed on 20 patients who had PD and degenerative spinal diseases. At the time of lumbar fusion surgery, the mean duration of PD, age, sex, the preoperative visual analog pain scale (VAS, 0 to 100 mm) for low back pain, Hoehn and Yahr staging, and other comorbidities were evaluated. Patients' postoperative clinical outcome was measured using the criteria of Kim and Kim and VAS for back pain. Radiographic assessment was made using plain films and a dynamogram. RESULTS: At the time of the spine surgery, Hoehn and Yahr staging of PD was from 1 to 2 in all patients. Only 1 patient had a satisfactory outcome; a good result according to Kim and Kim's criteria. The average postoperative VAS (mm) was 55.2, whereas the mean preoperative VAS (mm) was 53.9. Radiological assessment showed fusion status in 15 patients and probably no solid fusion mass in 5 patients. CONCLUSIONS: A poor surgical outcome would be inevitable because of the worsening of symptoms owing to the natural history of PD. Therefore, our current study suggested surgical indication should be exercised cautiously in the patients with PD and spinal stenosis.

Original languageEnglish
Pages (from-to)351-355
Number of pages5
JournalJournal of Spinal Disorders and Techniques
Volume25
Issue number7
DOIs
Publication statusPublished - 2012 Oct 1
Externally publishedYes

Fingerprint

Parkinson Disease
Spine
Spinal Diseases
Musculoskeletal Diseases
Spondylosis
Spinal Stenosis
Kyphosis
Osteoporotic Fractures
Scoliosis
Pain Measurement
Motion Pictures
Back Pain
Low Back Pain
Comorbidity
Retrospective Studies
Pathology
Bone and Bones

Keywords

  • lumbar fusion surgery
  • Parkinson disease
  • surgical outcome

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Clinical Neurology

Cite this

Moon, S. H., Lee, H. M., Chun, H. J., Kang, K. T., Kim, H. S., Park, J. O., ... Kim, H. J. (2012). Surgical outcome of lumbar fusion surgery in patients with Parkinson disease. Journal of Spinal Disorders and Techniques, 25(7), 351-355. https://doi.org/10.1097/BSD.0b013e318224a625

Surgical outcome of lumbar fusion surgery in patients with Parkinson disease. / Moon, Seong Hwan; Lee, Hwan Mo; Chun, Heoung Jae; Kang, Kyoung Tak; Kim, Hak Sun; Park, Jin Oh; Moon, Eun Su; Chong, Hyon Su; Sohn, Joon Seok; Kim, Ho Joong.

In: Journal of Spinal Disorders and Techniques, Vol. 25, No. 7, 01.10.2012, p. 351-355.

Research output: Contribution to journalArticle

Moon, SH, Lee, HM, Chun, HJ, Kang, KT, Kim, HS, Park, JO, Moon, ES, Chong, HS, Sohn, JS & Kim, HJ 2012, 'Surgical outcome of lumbar fusion surgery in patients with Parkinson disease', Journal of Spinal Disorders and Techniques, vol. 25, no. 7, pp. 351-355. https://doi.org/10.1097/BSD.0b013e318224a625
Moon, Seong Hwan ; Lee, Hwan Mo ; Chun, Heoung Jae ; Kang, Kyoung Tak ; Kim, Hak Sun ; Park, Jin Oh ; Moon, Eun Su ; Chong, Hyon Su ; Sohn, Joon Seok ; Kim, Ho Joong. / Surgical outcome of lumbar fusion surgery in patients with Parkinson disease. In: Journal of Spinal Disorders and Techniques. 2012 ; Vol. 25, No. 7. pp. 351-355.
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