[Analysis of long-time construct failure of spinal surgery in patients with Parkinson's disease].
[Analysis of long-time construct failure of spinal surgery in patients with Parkinson's disease].
Where did the research take place?
The study site has not been established. Author addresses may differ from where the research occurred.
Changzhou, CN · Author affiliation
Department of Orthopedics, Changzhou First People's Hospital, Changzhou 213003, China. lzwei117@163.comLocation evidence
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Original abstract
OBJECTIVE: To assess the rate of complications of spine surgery and the therapeutic efficacy in the patients with Parkinson's disease (PD) and characterize the special needs of this unique population. METHODS: The data of 25 PD patients undergoing the spinal surgery from January 1998 to December 2006 were analyzed. The patients not followed on a regular basis by their spine surgeons were invited for a follow-up review. The points of analysis were complications, revisions and reasons of surgery failure. RESULTS: The mean follow-up period was 56.3 months. Of 25 patients, 20 (80%) required additional surgery for a total of 25 reoperations. Three patients in need of additional surgery underwent another operation at a remote spinal segment. And 17 patients had the reoperations because of segmental instability at the operated or adjacent levels. CONCLUSION: The PD patients undergoing spine surgery have a high reoperation rate associated with technical complications. They should be appropriately counseled regarding an increased risk of operative complications. A closely follow-up is essential.