Improvement in sagittal alignment and mechanical low-back pain following deep brain stimulation for Parkinson’s disease: illustrative case

Jaime R. Guerrero, Lokeshwar S. Bhenderu, Khaled M. Taghlabi, Jesus G. Cruz-Garza, Comron Saifi, Amir H. Faraji

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

BACKGROUND Parkinson’s disease (PD) is a common neurogenerative disease marked by the characteristic triad of bradykinesia, rigidity, and tremor. A significant percentage of patients with PD also demonstrate postural abnormalities (camptocormia) that limit ambulation and accelerate degenerative pathologies of the spine. Although deep brain stimulation (DBS) is a well-established treatment for the motor fluctuations and tremor seen in PD, the efficacy of DBS on postural abnormalities in these patients is less clear. OBSERVATIONS The authors present a patient with a history of PD and prior lumbosacral fusion who underwent bilateral subthalamic nucleus DBS and experienced immediate improvement in sagittal alignment and subjective relief of mechanical low-back pain. LESSONS DBS may improve postural abnormalities seen in PD and potentially delay or reduce the need for spinal deformity surgery.

Original languageEnglish (US)
Article numberCASE22357
JournalJournal of Neurosurgery: Case Lessons
Volume4
Issue number17
DOIs
StatePublished - Oct 2022

Keywords

  • camptocormia
  • deep brain stimulation
  • Parkinson’s disease
  • sagittal alignment

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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