Corrective surgery for Parkinson's disease (PD) deformity following Deep Brain Stimulation (DBS) - Is DBS a last resort?

ObjectiveSpinal deformity related to Parkinson's disease (PD) is severe.Due to reported high complication rate, some authors reported that PD deformity with no neurological symptoms should not undergo surgery and also reported deep brain stimulation (DBS) should be considered instead of corrective surgery for their postural disorders.However, almost of previous reports did not consider spino-pelvic parameters.If spino-pelvic harmonization is achieved even in PD deformity surgery, there is a possibility of obtaining much better surgical results.We analyzed the surgical results of PD deformity surgery focused in spino-pelvic parameters and we here report minimum two years follow up of PD deformity surgery.