Læknablaðið - mai 2019, Síða 31

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Freyr Gauti Sigmundsson1,2
Fredrik Strömqvist2
Bjarki Karlsson1
This case report describes a 66-year old woman with Parkinson´s
disease and a subacute onset lateral postural deformity. She
experienced severe back pain and reduced walking ability. She was
diagnosed with Pisa syndrome and sagittal and coronal imbalance

was observed on radiographs. Posterior reconstructive surgery
was performed from sacrum to Th10. Post operatively, sagittal
and coronal imbalance was improved and maintained at the two
year follow-up. The patient remained pain free and improvements
in walking ability were sustained. The caveats of spine surgery in
Parkinson´s patients are discussed and the importance of goal
oriented surgery in terms of improvements in sagittal and coronal
balance.
Pisa Syndrome – case report
ENGLISH SUMMARY
1Orthopedic Surgery, Örebro, Sweden, 2Orthopedic Surgery, Malmö, Sweden, 3Dept. Orthopedics, Akureyri, Iceland.
Key words: Pisa Syndrome, postural deformity, Parkinsons disease, sagittal imbalance.
Correspondence: Freyr Gauti Sigmundsson, freyr.sigmundsson@regionorebrolan.se
Barst til blaðsins 24. desember 2018, samþykkt til birtingar 3. apríl 2019.