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Case Reports in Orthopedics
Volume 2013, Article ID 140916, 6 pages
http://dx.doi.org/10.1155/2013/140916
Case Report

Posterior and Anterior Spinal Fusion for the Management of Deformities in Patients with Parkinson's Disease

1Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan
2Department of Orthopaedic Surgery, Toho University Sakura Medical Center, Chiba 285-8741, Japan
3Department of Orthopaedic Surgery, Sanmu Medical Center, Chiba 289-1326, Japan
4Department of Orthopaedic Surgery, Chiba Cancer Center, Chiba 260-8717, Japan
5Department of Orthopaedic Surgery, Kitasato University, Tokyo 252-0375, Japan
6Department of Orthopaedic Surgery, Teikyo University Chiba Medical Center, Chiba 299-0111, Japan

Received 11 June 2013; Accepted 11 July 2013

Academic Editors: A. Clarke, G. Onambele-Pearson, and M. H. Zheng

Copyright © 2013 Masashi Sato et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.