UNASSIGNED: A 70-year-old man with a 7-year history of Parkinson\'s disease presented with a fall injury that caused lower back pain for 3 months and was aggravated for 2 months. He had been diagnosed with a compression fracture after the fall and had undergone percutaneous kyphoplasty at a local hospital. MRI showed non-union of the L1 vertebra and compression fracture of L2. The patient underwent posterior osteotomy, canal decompression, and internal fixation of the T10-L3 intervertebral plate with bone graft fusion. Postoperative examination showed that the lumbar lordosis was corrected and sensation was restored in both lower extremities. However, after 1 month, the fixation was loosened and a correction surgery was performed at our hospital. At the most recent follow-up at 1.5 years, the patient was found to be in good general health and did not complain of lower back discomfort. He was also actively exercising according to the rehabilitation regimen and had resumed social life.
UNASSIGNED: This is a rare case of camptocormia in a Parkinson\'s patient that highlights the need for careful evaluation of whether internal spinal fixation surgery is beneficial in such patients.
■一名70岁的男子,有7年的帕金森病病史,出现跌倒损伤,导致下背部疼痛3个月,加重2个月。跌倒后,他被诊断出患有压缩性骨折,并在当地医院接受了经皮椎体后凸成形术。MRI显示L1椎体不愈合,L2压缩性骨折。患者接受了后路截骨术,运河减压,T10-L3椎间板内固定与植骨融合。术后检查显示腰椎前凸得到纠正,下肢感觉恢复。然而,一个月后,固定松动,并在我们医院进行了矫正手术。在最近的1.5年随访中,该患者的一般健康状况良好,没有抱怨下背部不适。他还根据康复方案积极锻炼,并恢复了社交生活。
■这是一例罕见的帕金森患者的喜乐症病例,强调需要仔细评估脊柱内固定手术对此类患者是否有益。