Impact of Movement Disorders on Management of Spinal Deformity in the Elderly.
Identifieur interne : 000496 ( PubMed/Checkpoint ); précédent : 000495; suivant : 000497Impact of Movement Disorders on Management of Spinal Deformity in the Elderly.
Auteurs : Yoon Ha [États-Unis] ; Jae Keun Oh ; Justin S. Smith ; Tamir Ailon ; Michael G. Fehlings ; Christopher I. Shaffrey ; Christopher P. AmesSource :
- Neurosurgery [ 1524-4040 ] ; 2015.
English descriptors
- KwdEn :
- Aged, Disease Management, Humans, Movement Disorders (complications), Muscular Atrophy, Spinal (etiology), Muscular Atrophy, Spinal (surgery), Parkinson Disease (complications), Postoperative Complications, Reoperation, Scoliosis (etiology), Scoliosis (surgery), Spinal Curvatures (etiology), Spinal Curvatures (surgery), Spinal Fusion (methods), Treatment Outcome.
- MESH :
- complications : Movement Disorders, Parkinson Disease.
- etiology : Muscular Atrophy, Spinal, Scoliosis, Spinal Curvatures.
- methods : Spinal Fusion.
- surgery : Muscular Atrophy, Spinal, Scoliosis, Spinal Curvatures.
- Aged, Disease Management, Humans, Postoperative Complications, Reoperation, Treatment Outcome.
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.
DOI: 10.1227/NEU.0000000000000940
PubMed: 26378355
Affiliations:
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Smith</name></author><author><name sortKey="Ailon, Tamir" sort="Ailon, Tamir" uniqKey="Ailon T" first="Tamir" last="Ailon">Tamir Ailon</name></author><author><name sortKey="Fehlings, Michael G" sort="Fehlings, Michael G" uniqKey="Fehlings M" first="Michael G" last="Fehlings">Michael G. Fehlings</name></author><author><name sortKey="Shaffrey, Christopher I" sort="Shaffrey, Christopher I" uniqKey="Shaffrey C" first="Christopher I" last="Shaffrey">Christopher I. Shaffrey</name></author><author><name sortKey="Ames, Christopher P" sort="Ames, Christopher P" uniqKey="Ames C" first="Christopher P" last="Ames">Christopher P. 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Smith</name></author><author><name sortKey="Ailon, Tamir" sort="Ailon, Tamir" uniqKey="Ailon T" first="Tamir" last="Ailon">Tamir Ailon</name></author><author><name sortKey="Fehlings, Michael G" sort="Fehlings, Michael G" uniqKey="Fehlings M" first="Michael G" last="Fehlings">Michael G. Fehlings</name></author><author><name sortKey="Shaffrey, Christopher I" sort="Shaffrey, Christopher I" uniqKey="Shaffrey C" first="Christopher I" last="Shaffrey">Christopher I. Shaffrey</name></author><author><name sortKey="Ames, Christopher P" sort="Ames, Christopher P" uniqKey="Ames C" first="Christopher P" last="Ames">Christopher P. Ames</name></author></analytic><series><title level="j">Neurosurgery</title><idno type="eISSN">1524-4040</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Disease Management</term><term>Humans</term><term>Movement Disorders (complications)</term><term>Muscular Atrophy, Spinal (etiology)</term><term>Muscular Atrophy, Spinal (surgery)</term><term>Parkinson Disease (complications)</term><term>Postoperative Complications</term><term>Reoperation</term><term>Scoliosis (etiology)</term><term>Scoliosis (surgery)</term><term>Spinal Curvatures (etiology)</term><term>Spinal Curvatures (surgery)</term><term>Spinal Fusion (methods)</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Movement Disorders</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Muscular Atrophy, Spinal</term><term>Scoliosis</term><term>Spinal Curvatures</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Spinal Fusion</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Muscular Atrophy, Spinal</term><term>Scoliosis</term><term>Spinal Curvatures</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Disease Management</term><term>Humans</term><term>Postoperative Complications</term><term>Reoperation</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26378355</PMID><DateCreated><Year>2015</Year><Month>09</Month><Day>18</Day></DateCreated><DateCompleted><Year>2016</Year><Month>06</Month><Day>03</Day></DateCompleted><DateRevised><Year>2015</Year><Month>09</Month><Day>18</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1524-4040</ISSN><JournalIssue CitedMedium="Internet"><Volume>77 Suppl 4</Volume><PubDate><Year>2015</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Neurosurgery</Title><ISOAbbreviation>Neurosurgery</ISOAbbreviation></Journal><ArticleTitle>Impact of Movement Disorders on Management of Spinal Deformity in the Elderly.</ArticleTitle><Pagination><MedlinePgn>S173-85</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1227/NEU.0000000000000940</ELocationID><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ha</LastName><ForeName>Yoon</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>‡Department of Neurosurgery, Spine and Spinal Cord Research Institute, College of Medicine, Yonsei University, Seoul, Korea; §Department of Neurosurgery, Spine Center, Hallym University Sacred Heart Hospital, Anyang, Korea; ¶Department of Neurosurgery, University of Virginia, Charlottesville, Virginia; ‖Department of Surgery, University of Toronto, Toronto, Canada; #Department of Neurosurgery, University of California San Francisco, San Francisco, California.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Oh</LastName><ForeName>Jae Keun</ForeName><Initials>JK</Initials></Author><Author ValidYN="Y"><LastName>Smith</LastName><ForeName>Justin S</ForeName><Initials>JS</Initials></Author><Author ValidYN="Y"><LastName>Ailon</LastName><ForeName>Tamir</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Fehlings</LastName><ForeName>Michael G</ForeName><Initials>MG</Initials></Author><Author ValidYN="Y"><LastName>Shaffrey</LastName><ForeName>Christopher I</ForeName><Initials>CI</Initials></Author><Author ValidYN="Y"><LastName>Ames</LastName><ForeName>Christopher P</ForeName><Initials>CP</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Neurosurgery</MedlineTA><NlmUniqueID>7802914</NlmUniqueID><ISSNLinking>0148-396X</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C537968">Camptocormia</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019468" MajorTopicYN="N">Disease Management</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009069" MajorTopicYN="N">Movement Disorders</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009134" MajorTopicYN="N">Muscular Atrophy, Spinal</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010300" MajorTopicYN="N">Parkinson Disease</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012086" MajorTopicYN="N">Reoperation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012600" MajorTopicYN="N">Scoliosis</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013121" MajorTopicYN="N">Spinal Curvatures</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013123" MajorTopicYN="N">Spinal Fusion</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>9</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>9</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>6</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26378355</ArticleId><ArticleId IdType="doi">10.1227/NEU.0000000000000940</ArticleId><ArticleId IdType="pii">00006123-201510001-00017</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><noCountry><name sortKey="Ailon, Tamir" sort="Ailon, Tamir" uniqKey="Ailon T" first="Tamir" last="Ailon">Tamir Ailon</name><name sortKey="Ames, Christopher P" sort="Ames, Christopher P" uniqKey="Ames C" first="Christopher P" last="Ames">Christopher P. Ames</name><name sortKey="Fehlings, Michael G" sort="Fehlings, Michael G" uniqKey="Fehlings M" first="Michael G" last="Fehlings">Michael G. Fehlings</name><name sortKey="Oh, Jae Keun" sort="Oh, Jae Keun" uniqKey="Oh J" first="Jae Keun" last="Oh">Jae Keun Oh</name><name sortKey="Shaffrey, Christopher I" sort="Shaffrey, Christopher I" uniqKey="Shaffrey C" first="Christopher I" last="Shaffrey">Christopher I. Shaffrey</name><name sortKey="Smith, Justin S" sort="Smith, Justin S" uniqKey="Smith J" first="Justin S" last="Smith">Justin S. Smith</name></noCountry><country name="États-Unis"><region name="Californie"><name sortKey="Ha, Yoon" sort="Ha, Yoon" uniqKey="Ha Y" first="Yoon" last="Ha">Yoon Ha</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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