Failure of Long Spinal Construct and Pseudarthrosis in a Patient with Parkinson Disease for the Treatment of Degenerative Lumbar Spinal Disorder - Case Report – (파킨슨병에 이환된 환자에서 퇴행성 요추 질환의 치료에서 발생한 장분절 고정의 실패 및 불유합 - 증례 보고 -)

김홍균; 나현우; 정국진

Failure of Long Spinal Construct and Pseudarthrosis in a Patient with Parkinson Disease for the Treatment of Degenerative Lumbar Spinal Disorder - Case Report –

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2014, 21(4), pp.173-177
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

김홍균 ¹, 나현우 ¹, 정국진 ¹

¹한림대학교

Accredited

ABSTRACT

Study Design: case report. Objective: We report a case of treated failure spinal construct and pseudarthrosis in a patient with Parkinson’s disease. Summary of Literature Review: There have been no reports about revision surgery due to failure and pseuarthrosis of degenerativelumbar spine disease in patients with Parkinson’s disease. Materials and Methods: A 55-year-old female who had been diagnosed with Parkinson’s disease 4 years ago presented with backpain and radiating pain on both legs. Radiographic assessment showed spinal stenosis from L2 to L5 combined with degenerativespondylolisthesis at L3-4. Posterior decompression, instrumentation, and posterolateral fusion were performed and her symptomsimproved. Results: Two years after the operation, she complained of severe back pain without injury. A simple X-ray showed the pull out ofbilateral L5 screws, and revision surgery was performed. Three years after the revision, she underwent re-reoperation due to metalfailure. The breakage of a unilateral pedicle screw at L5 was found, and her fusion level was extended to S1 with a posterior lumbarinterbody fusion with cages and alar screws. Finally, she has not shown any further failure but, a sagittal imbalance and aggravation ofpelvic incidence due to Parkinson’s disease have been detected. Conclusions: Spine surgeons always should consider metal failure, pseudarthrosis, and aggravated spinal imbalance caused by naturalhistory in patients with Parkinson’s disease.

KEYWORDS

Parkinson disease, Failure, Spinal construct, Pseudarthrosis

Citation status

* References for papers published after 2023 are currently being built.

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