Zeitschrift für Wirbelsäule

Parkinson Disease Spine Instrumentation, a Chronicle of a Death Foretold

Abstract

Fernando José Rodas Montenegro*, Cesar A. Moreno Villegas, Leonel Ramírez Abrego, Francisco Javier Sánchez, Jorge Alberto De Haro, Alejandro Tejera Morett, Francisco Cruz López and H. Michael Dittmar Johnson

A 75-year-old male with history of medically controlled Arterial Hypertension (AH) and Parkinson Disease (PD), reporting Degenerative Lumbar Scoliosis and Lumbar Stenosis. Underwent for coronal deformity correction and lumbar stenosis decompression. An immediate successful radiological and clinical outcome, but six weeks after surgical intervention patient with thoracic pain, x-rays showed a fracture of the upper instrumented vertebra. Due to multimorbidity we decided conservative treatment, expecting consolidation. Nevertheless, after 5 months of conservative treatment without bone consolidation, he underwent for a re-intervention, making a transition from a rigid to a semi-rigid spine instrumentation. The purpose of this article is to show how challenging is a combination of PD with Degenerative Spine Disease.