Camptocormia in Parkinson’s Disease: Systematic Review of Management Using Spine Surgery.

Publication date: Aug 02, 2024

Postural abnormalities are a debilitating symptom of Parkinson’s disease (PD) that may require spinal intervention. Camptocormia is a unique abnormality most seen in PD, defined by a severe forward-flexion of the trunk that completely resolves when supine. The condition presents a challenge due to an undefined pathophysiology and optimal therapeutic approach in a high-risk patient population. In this study, the authors systematically reviewed the literature regarding the use of spine surgery for the treatment of camptocormia in PD. PubMed, Embase, Web of Science, and Cochrane Library were systematically queried for studies involving spine surgery as treatment of PD-associated camptocormia. Studies involving nonsurgical management, deep brain stimulation (DBS), non-camptocormic PD patients undergoing surgery, or were out of scope were excluded. The search resulted in 5 studies, with a total of 19 PD patients with camptocormia who underwent spine surgery (73. 7% female). The mean age was 69. 5 years (range, 59 – 83), and mean PD duration was 69. 5 months (range, 36 – 84). Out of 19 patients, 11 required surgical revision (57. 9%), with an average of 0. 68 revisions per patient (range, 0-2). Radiographic and patient-reported outcomes were inconsistently reported yet showed improvement. Ultimately, 18 patients were reported to have positive outcomes. Despite an increased risk of complication and revision that is inherent to PD patients, spine surgery has been proven as a reasonable alternative that should be prospectively studied further, as 18/19 patients had favorable outcomes.

Concepts Keywords
High camptocormia
Library deep brain stimulation
Months Parkinson’s disease
Supine sagittal alignment
Surgery spine surgery

Semantics

Type Source Name
disease MESH Camptocormia
disease MESH Parkinson’s Disease
disease MESH abnormalities

Original Article

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