Impact of movement disorders on management of spinal deformity in the elderly

Yoon Ha, Jae Keun Oh, Justin S. Smith, Tamir Ailon, Michael G. Fehlings, Christopher I. Shaffrey, Christopher P. Ames

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Spinal deformities are frequent and disabling complications of movement disorders such as Parkinson disease and multiple system atrophy. The most distinct spinal deformities include camptocormia, antecollis, Pisa syndrome, and scoliosis. Spinal surgery has become lower risk and more efficacious for complex spinal deformities, and thus more appealing to patients, particularly those for whom conservative treatment is inappropriate or ineffective. Recent innovations and advances in spinal surgery have revolutionized the management of spinal deformities in elderly patients. However, spinal deformity surgeries in patients with Parkinson disease remain challenging. High rates of mechanical complications can necessitate revision surgery. The success of spinal surgery in patients with Parkinson disease depends on an interdisciplinary approach, including both surgeons and movement disorder specialists, to select appropriate surgical patients and manage postoperative movement in order to decrease mechanical failures. Achieving appropriate correction of sagittal alignment with strong biomechanical instrumentation and bone fusion is the key determinant of satisfactory results.

Original languageEnglish
Pages (from-to)S173-S185
JournalNeurosurgery
Volume77
Issue number4
DOIs
Publication statusPublished - 2015 Jan 1

Fingerprint

Movement Disorders
Parkinson Disease
Multiple System Atrophy
Scoliosis
Reoperation
Bone and Bones

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cite this

Ha, Y., Oh, J. K., Smith, J. S., Ailon, T., Fehlings, M. G., Shaffrey, C. I., & Ames, C. P. (2015). Impact of movement disorders on management of spinal deformity in the elderly. Neurosurgery, 77(4), S173-S185. https://doi.org/10.1227/NEU.0000000000000940
Ha, Yoon ; Oh, Jae Keun ; Smith, Justin S. ; Ailon, Tamir ; Fehlings, Michael G. ; Shaffrey, Christopher I. ; Ames, Christopher P. / Impact of movement disorders on management of spinal deformity in the elderly. In: Neurosurgery. 2015 ; Vol. 77, No. 4. pp. S173-S185.
@article{fb9d7e106af74efa894414df5bf6638b,
title = "Impact of movement disorders on management of spinal deformity in the elderly",
abstract = "Spinal deformities are frequent and disabling complications of movement disorders such as Parkinson disease and multiple system atrophy. The most distinct spinal deformities include camptocormia, antecollis, Pisa syndrome, and scoliosis. Spinal surgery has become lower risk and more efficacious for complex spinal deformities, and thus more appealing to patients, particularly those for whom conservative treatment is inappropriate or ineffective. Recent innovations and advances in spinal surgery have revolutionized the management of spinal deformities in elderly patients. However, spinal deformity surgeries in patients with Parkinson disease remain challenging. High rates of mechanical complications can necessitate revision surgery. The success of spinal surgery in patients with Parkinson disease depends on an interdisciplinary approach, including both surgeons and movement disorder specialists, to select appropriate surgical patients and manage postoperative movement in order to decrease mechanical failures. Achieving appropriate correction of sagittal alignment with strong biomechanical instrumentation and bone fusion is the key determinant of satisfactory results.",
author = "Yoon Ha and Oh, {Jae Keun} and Smith, {Justin S.} and Tamir Ailon and Fehlings, {Michael G.} and Shaffrey, {Christopher I.} and Ames, {Christopher P.}",
year = "2015",
month = "1",
day = "1",
doi = "10.1227/NEU.0000000000000940",
language = "English",
volume = "77",
pages = "S173--S185",
journal = "Neurosurgery",
issn = "0148-396X",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

Ha, Y, Oh, JK, Smith, JS, Ailon, T, Fehlings, MG, Shaffrey, CI & Ames, CP 2015, 'Impact of movement disorders on management of spinal deformity in the elderly', Neurosurgery, vol. 77, no. 4, pp. S173-S185. https://doi.org/10.1227/NEU.0000000000000940

Impact of movement disorders on management of spinal deformity in the elderly. / Ha, Yoon; Oh, Jae Keun; Smith, Justin S.; Ailon, Tamir; Fehlings, Michael G.; Shaffrey, Christopher I.; Ames, Christopher P.

In: Neurosurgery, Vol. 77, No. 4, 01.01.2015, p. S173-S185.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Impact of movement disorders on management of spinal deformity in the elderly

AU - Ha, Yoon

AU - Oh, Jae Keun

AU - Smith, Justin S.

AU - Ailon, Tamir

AU - Fehlings, Michael G.

AU - Shaffrey, Christopher I.

AU - Ames, Christopher P.

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Spinal deformities are frequent and disabling complications of movement disorders such as Parkinson disease and multiple system atrophy. The most distinct spinal deformities include camptocormia, antecollis, Pisa syndrome, and scoliosis. Spinal surgery has become lower risk and more efficacious for complex spinal deformities, and thus more appealing to patients, particularly those for whom conservative treatment is inappropriate or ineffective. Recent innovations and advances in spinal surgery have revolutionized the management of spinal deformities in elderly patients. However, spinal deformity surgeries in patients with Parkinson disease remain challenging. High rates of mechanical complications can necessitate revision surgery. The success of spinal surgery in patients with Parkinson disease depends on an interdisciplinary approach, including both surgeons and movement disorder specialists, to select appropriate surgical patients and manage postoperative movement in order to decrease mechanical failures. Achieving appropriate correction of sagittal alignment with strong biomechanical instrumentation and bone fusion is the key determinant of satisfactory results.

AB - Spinal deformities are frequent and disabling complications of movement disorders such as Parkinson disease and multiple system atrophy. The most distinct spinal deformities include camptocormia, antecollis, Pisa syndrome, and scoliosis. Spinal surgery has become lower risk and more efficacious for complex spinal deformities, and thus more appealing to patients, particularly those for whom conservative treatment is inappropriate or ineffective. Recent innovations and advances in spinal surgery have revolutionized the management of spinal deformities in elderly patients. However, spinal deformity surgeries in patients with Parkinson disease remain challenging. High rates of mechanical complications can necessitate revision surgery. The success of spinal surgery in patients with Parkinson disease depends on an interdisciplinary approach, including both surgeons and movement disorder specialists, to select appropriate surgical patients and manage postoperative movement in order to decrease mechanical failures. Achieving appropriate correction of sagittal alignment with strong biomechanical instrumentation and bone fusion is the key determinant of satisfactory results.

UR - http://www.scopus.com/inward/record.url?scp=84941902243&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84941902243&partnerID=8YFLogxK

U2 - 10.1227/NEU.0000000000000940

DO - 10.1227/NEU.0000000000000940

M3 - Article

C2 - 26378355

AN - SCOPUS:84941902243

VL - 77

SP - S173-S185

JO - Neurosurgery

JF - Neurosurgery

SN - 0148-396X

IS - 4

ER -

Ha Y, Oh JK, Smith JS, Ailon T, Fehlings MG, Shaffrey CI et al. Impact of movement disorders on management of spinal deformity in the elderly. Neurosurgery. 2015 Jan 1;77(4):S173-S185. https://doi.org/10.1227/NEU.0000000000000940