Introduction: Parkinson's disease(PD) is a progressive degenerative disorder of the central nervous system. The patients with PD often present with abnormal posture such as camptocormia, antecollis, Pisa syndrome, and scoliosis.
To investigate coronal plane deformities in patients with PD prospectively and clinical features, coronal parameters about spine alignment, and correlations with disease severity are evaluated.
Methods: Our study included 89 patients with PD. Clinical characteristics(age, gender, period under diagnosis with PD, whether diagnosed with PD newly or not, initial symptom, Hoehn and Yahr scale, unified Parkinson's disease rating scale, presence of back pain, and history of medication) were evaluate from medical record and interview at outpatient department. Coronal balance, cobb’s angle, direction of scoliosis and coronal balance, and curve type were measured in whole spine plain X-ray anterior-posterior view and sagittal vertical axis from the 7th cervical vertebra(C7SVA) in whole spine plain X-ray lateral view. We classified the curve type of scoliosis along Schwab’s classification.
Results: The scoliosis was found 27 of 89 patients. In patients with Parkinson's disease, the scoliosis was more frequent in female than male(M : F = 8 : 19, p=0.04). If patients with Parkinson's disease have scoliosis, the back pain was more frequent than patients without scoliosis(14 of 27 vs 17 of 62, p = 0.036). By multiple linear regression revealed that age, C7SVA, and coronal balance can influence the scoliosis statistically significant.
Conclusions: We analyzed the patients with PD for coronal plane deformity and age, coronal balance, and C7SVA were associated with scoliosis in patients with PD statistically significant.
Patient Care: We can know the risk factors and associated factors of scoliosis in Parkinson's disease,so we can plan the more exact therapeutic plan.
Learning Objectives: Decribe the importance of scoliosis in patients with Parkinson's disease