Acute Spinal Cord Contusion in a Patient with Multiple Upper Cervical Fractures, Parkinson’s Disease, and Torticollis: Surgical Management
Joint Authors
Neal, Matthew T.
Patel, Naresh P.
Lyons, Mark K.
Merrill, Sarah
Kalani, Maziyar A.
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-09-11
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Merrill, Sarah& Kalani, Maziyar A.& Patel, Naresh P.& Lyons, Mark K.& Neal, Matthew T.. 2020. Acute Spinal Cord Contusion in a Patient with Multiple Upper Cervical Fractures, Parkinson’s Disease, and Torticollis: Surgical Management. Case Reports in Orthopedics،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1150167
Modern Language Association (MLA)
Merrill, Sarah…[et al.]. Acute Spinal Cord Contusion in a Patient with Multiple Upper Cervical Fractures, Parkinson’s Disease, and Torticollis: Surgical Management. Case Reports in Orthopedics No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1150167
American Medical Association (AMA)
Merrill, Sarah& Kalani, Maziyar A.& Patel, Naresh P.& Lyons, Mark K.& Neal, Matthew T.. Acute Spinal Cord Contusion in a Patient with Multiple Upper Cervical Fractures, Parkinson’s Disease, and Torticollis: Surgical Management. Case Reports in Orthopedics. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1150167
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150167