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[Pisa Syndrome - case report].
Freyr Gauti Sigmundsson1, Fridrik Stromqvist2, Bjarki Karlsson3
1Orthopedic Surgery, Örebro, Sweden, Dept. Orthopedics, Akureyri, Iceland.
This case report details a Parkinson's disease patient with Pisa syndrome who underwent spinal reconstructive surgery. The surgery successfully corrected spinal imbalance, alleviating pain and improving mobility long-term.
Area of Science:
- Spine surgery
- Neurology
- Orthopedics
Background:
- Parkinson's disease (PD) can lead to complex spinal deformities.
- Pisa syndrome, characterized by lateral postural deviation, presents significant challenges in PD patients.
Observation:
- A 66-year-old female with Parkinson's disease developed subacute onset lateral postural deformity, severe back pain, and reduced walking ability.
- Radiographic evaluation confirmed Pisa syndrome with significant sagittal and coronal spinal imbalance.
Findings:
- Posterior reconstructive surgery from sacrum to Th10 effectively corrected the sagittal and coronal imbalance.
- Postoperative outcomes showed sustained improvement in spinal alignment and patient-reported pain relief at two-year follow-up.
- The patient experienced sustained improvements in walking ability after surgical intervention.
Implications:
- Spinal reconstructive surgery can be a viable option for managing severe Pisa syndrome and associated spinal imbalance in Parkinson's disease patients.
- Goal-oriented surgical strategies focusing on sagittal and coronal balance are crucial for optimizing outcomes in this patient population.
- Careful consideration of surgical caveats in Parkinson's patients is essential for successful management of spinal deformities.
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