ヤマウチ　カヅヨ   YAMAUCHI Kadzuyo   山内　かづ代    所属   医学部 医学科    職種   評議員
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Posterior and anterior spinal fusion for the management of deformities in patients with Parkinson's disease.
掲載誌名	正式名：Case reports in orthopedics 略　 称：Case Rep Orthop ISSNコード：(2090-6749)2090-6757(Linking)
掲載区分	国外
巻・号・頁	2013,pp.140916
著者・共著者	Sato Masashi, Sainoh Takeshi, Orita Sumihisa, Yamauchi Kazuyo, Aoki Yasuchika, Ishikawa Tetsuhiro, Miyagi Masayuki, Kamoda Hiroto, Suzuki Miyako, Kubota Gou, Sakuma Yoshihiro, Inage Kazuhide, Oikawa Yasuhiro, Nakamura Junichi, Takaso Masashi, Inoue Gen, Toyone Tomoaki, Takahashi Kazuhisa, Ohtori Seiji
発行年月	2013
概要	Introduction. Spinal scoliosis and kyphosis in elderly people sometimes cause severe low back pain. Surgical methods such as osteotomy are useful for correcting the deformity. However, complications during and after surgery are associated with the osteotomy procedure. In particular, it is difficult to manage deformity correction surgery for patients with Parkinson's disease. Here, we present two cases of combined anterior and posterior surgery for deformity in patients with adult scoliosis and kyphosis due to Parkinson's disease. Case Presentation. Two 70-year-old women had spinal scoliosis and kyphosis due to Parkinson's disease. They had severe low back pain, and conservative treatment was not effective for the pain. Surgery was planned to correct the deformity in both patients. We performed combined posterior and anterior correction surgery. At first, posterior fusions were performed from T4 to the ilium using pedicle screws. Next, cages and autograft from the iliac crest were used in anterior lumbar surgery. The patients became symptom free after surgery. Bony fusion was observed 12 months after surgery. Conclusions. Combined posterior and anterior fusion surgery is effective for patients who show scoliosis and kyphosis deformity, and symptomatic low back pain due to Parkinson's disease.
DOI	10.1155/2013/140916
PMID	24073349