Acute Spinal Cord Contusion in a Patient with Multiple Upper Cervical Fractures, Parkinson’s Disease, and Torticollis: Surgical Management

Case Report. Spine surgery in patients with Parkinson’s disease (PD) involves increased risk. We describe a case of cervical myelopathy in a patient with PD, multiple fractures involving the atlas and axis vertebrae, and spasmodic torticollis. The patient was successfully treated with an upper cervi...

Full description

Saved in:
Bibliographic Details
Published in:Case reports in orthopedics 2020-01, Vol.2020 (2020), p.1-4
Main Authors: Lyons, Mark K., Patel, Naresh P., Kalani, Maziyar A., Merrill, Sarah, Neal, Matthew T.
Format: Article
Language:English
Subjects:
Botulinum toxin
Case Report
Case reports
Fractures
General anesthesia
Neurosciences
Osteoporosis
Pain
Parkinson's disease
Patients
Posture
Spinal cord
Surgery
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Case Report. Spine surgery in patients with Parkinson’s disease (PD) involves increased risk. We describe a case of cervical myelopathy in a patient with PD, multiple fractures involving the atlas and axis vertebrae, and spasmodic torticollis. The patient was successfully treated with an upper cervical decompression and occipital-cervical (OC) fusion surgery. Strategies for torticollis reduction and successful surgical outcome are discussed. Risks and benefits must be carefully weighed when considering occipital cervical fusion in PD patients. Conclusion. Intraoperative manual reduction of laterocollis is possible after general endotracheal anesthesia, and continuous neuromonitoring is established. Use of optimizing strategies such as perioperative botulinum injections and intraoperative O-arm navigation should be considered.
ISSN:2090-6749
2090-6757
DOI:10.1155/2020/8897071