Bent spine syndrome. Presentation of four cases and literature review
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Published:
Nov 12, 2019
Keywords:
Camptocormia, spinal muscular atrophy, bent spine syndrome
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Abstract
Introduction: The bent spine syndrome (BSS) or camptocornia is a cause of unstructured sagittal imbalance of difficult medical and surgical management.Objective: To describe the causes of BSS and how to approach its treatment.Materials and Methods: Retrospective analysis of 4 cases of BSS treated at our center and review of the literature.Results: The 4 cases were women between 60 and 82 years of age, 3 due to an isolated atrophy of the paravertebral spinal erectorae musculature and 1 case due to an inflammatory myopathy.Conclusions: The prognosis of any BSS is poor, so the symptoms usually progress to irreversible difficulty to maintain upright posture.
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How to Cite
Covaro, A., Vilà-Canet, G., Ciccolo, F., Garcia de Frutos, A., Rodriguez-Alabau, S., Ubierna-Garcés, M., Isart Torruella, A., Cancer Castillo, D., & Cáceres-Palou, E. (2019). Bent spine syndrome. Presentation of four cases and literature review. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 84(4), 393-405. https://doi.org/10.15417/issn.1852-7434.2019.84.4.924
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Case Presentations
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References
1. Yeh YW, Chen YC, Chen CK, Feng HM, Wang TY, Chen CL. Chronic Pisa syndrome associated with switching antipsychotics from olanzapine to ziprasidone. Prog Neuropsychopharmacol Biol Psychiatry 2009;33(1):162-3. https://doi.org/10.1016/j.pnpbp.2008.11.001
2. Parkinson J. An essay on the shaking palsy. 1817. J Neuropsychiatry Clin Neurosci 2002;14(2):223-36. https://doi.org/10.1176/jnp.14.2.223
3. Souques A. Réforme, incapacité, gratifications dans la camptocormie. Rev Neurol 1916;23:757-8.
4. Laroche M, Rousseau H, Mazieres B, Bonafe A, Joffre F, Arlet J. Value of x-ray computed tomography in muscular pathology. Personal cases and review of the literature. Rev Rhum Mal Osteoartic 1889;56:433-9.
5. Serratrice G. Clinical semiology of neuromuscular diseases. Bent spine myopathy or syndrome. Acta Myol 2007;26:1-4. PMID: 17915562 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2949321/
6. Reichel G, Kirchhöfer U, Stenner A. Camptocormia-segmental dystonia. Proposal of a new definition for an old disease. Nervenarzt 2001;72:281-5. https://doi.org/10.1007/s001150050751
7. Azher SN, Jankovic J. Camptocormia: pathogenesis, classification and response to therapy. Neurology 2005;65:355-9. https://doi.org/10.1212/01.wnl.0000171857.09079.9f
8. Margraf NG, Wrede A, Rohr A, Schulz-Shaeffer WJ, Raethjen J, Eymess A, et al. Camptocormia in idiopathic Parkinson´s disease: a focal myopathy of the paravertebral muscles. Mov Disord 2010;25(5):542-51. https://doi.org/10.1002/mds.22780
9. Nakane S, Yoshioka M, Oda N, Tani T, Cida K, Suzuki M, et al. The characteristics of camptocormia in patients with Parkinson´s disease: a large cross-sectional multicenter study in Japan. J Neurol Sci 2015;358(1-2):299-303. https://doi.org/10.1016/j.jns.2015.09.015
10. Kuo SH, Vullanganti M, Jimenez-Shahed J, Kwan JY. Camptocormia as a presentation of generalized inflammatory myopathy. Mucle Nerve 2009;40(6):1059-63. https://doi.org/10.1002/mus.21403
11. Lepoutre AC, Devos D, Blanchard-Dauphin A, Pardessus V, Maurage CA, Ferriby D, et al. A specific clinical pattern of camptocornia in Parkinson´s disease. J Neurol Neurosurg Psychiatry 2006;77(11):1229-34. https://doi.org/10.1136/jnnp.2005.083998
12. Ricq G, Laroche M. Acquired lumbar kyphosis caused in adults by primary paraspinal myopathy. Epidemiology, computed tomography findings and outcomes in a cohort of 23 patients. Joint Bone Spine 2000;67(6):528-32. https://doi.org/10.1016/S1297-319X(00)00203-7
13. Margraf NG, Granert O, Hampel J, Wrede A, Schulz-Schaeffer WJ, Deuschl G. Clinical definition of camptocormia in Parkinson's disease. Mov Disord Clin Pract 2016;4(3):349-57. https://doi.org/10.1002/mdc3.12437
14. Ghosh PS, Milone M. Camptocormia as presenting manifestation of a spectrum of myopathic disorders. Muscle Nerve 2015;52(6):1008-12. https://doi.org/10.1002/mus.24689
15. Skidmore F, Anderson K, Fram D, Weiner W. Psychogenic camptocormia. Mov Disord 2007;22(13):1974-5. https://doi.org/10.1002/mds.21708
16. Laroche M, Cintas P. Bent spine syndrome (camptocornia): a retrospective study of 63 patients. Join Bone Spine 2010;77(6):593-6. https://doi.org/10.1016/j.jbspin.2010.05.012
17. Doherty KM, Noyce AJ, Silveira-Moriyama L, Nisbet A, Quinn N, Lees AJ. Familiar camptocornia: from dystonia to myopathy. J Neurol Neurosurg Psychiatry 2012;83(3):350-1. https://doi.org/10.1136/jnnp.2011.246561
18. Laroche M, Ricq G, Delise MB. Bent spine syndrome: computed tomography study and isokinetic evaluation. Muscle Nerve 2002;25(2):189-93. https://doi.org/10.1002/mus.10016
19. Mahjneh I, Marconi G, Paetau A, Saarinen A, Salmi T, Somer H. Axial myopathy: an unrecognised entity. J Neurol 2002;249(6):730-4. https://doi.org/10.1007/s00415-002-0701-9
20. Ricq G, Laroche M. Cyphose lombaire acquise de l ádulte par myopathie primitive des muscles paravertébraux. Aspects épidémiologiques, tomodensitométriques et évolutifs, à propos d´une cohorte de 23 patients. Rev Rhum 2000;67(10):908-13. https://doi.org/10.1016/S1169-8330(00)00034-X
21. Laroche M, Delisle MB, Aziza R, Lagarrigue J, Mazieres B. Is camptocormia a primary muscular disease? Spine 1995;20(9):1011-6. https://doi.org/10.1097/00007632199505000-00007
22. Emery AE. The muscular dystrophies. Lancet 2002;359(9307): 687-95. https://doi.org/10.1016/S0140-6736(02)07815-7
23. Hund E, Heckl R, Goebel HH, Meinck HM. Inclusion body miositis presenting with isolated erected spinae paresis. Neurology 1995;45(5):993-4. https://doi.org/10.1212/wnl.45.5.993
24. Suzuki T, Matsuzaka H. Drug-induced Pisa syndrome (pleurothotonus). Mol Diag Ther 2002;16(3):165.
https://doi.org/10.2165/00023210-200216030-00003
25. Delcey V, Hachulla E, Michon-Pasturel U, Queyrel V, Hatron PY, Boutry N, et al. La camptocormie: un signe de myopathie axiale. À propos de sept observationes. Rev Med Interne 2002;23(2):144-54. https://doi.org/10.1016/S02488663(01)00530-6
2. Parkinson J. An essay on the shaking palsy. 1817. J Neuropsychiatry Clin Neurosci 2002;14(2):223-36. https://doi.org/10.1176/jnp.14.2.223
3. Souques A. Réforme, incapacité, gratifications dans la camptocormie. Rev Neurol 1916;23:757-8.
4. Laroche M, Rousseau H, Mazieres B, Bonafe A, Joffre F, Arlet J. Value of x-ray computed tomography in muscular pathology. Personal cases and review of the literature. Rev Rhum Mal Osteoartic 1889;56:433-9.
5. Serratrice G. Clinical semiology of neuromuscular diseases. Bent spine myopathy or syndrome. Acta Myol 2007;26:1-4. PMID: 17915562 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2949321/
6. Reichel G, Kirchhöfer U, Stenner A. Camptocormia-segmental dystonia. Proposal of a new definition for an old disease. Nervenarzt 2001;72:281-5. https://doi.org/10.1007/s001150050751
7. Azher SN, Jankovic J. Camptocormia: pathogenesis, classification and response to therapy. Neurology 2005;65:355-9. https://doi.org/10.1212/01.wnl.0000171857.09079.9f
8. Margraf NG, Wrede A, Rohr A, Schulz-Shaeffer WJ, Raethjen J, Eymess A, et al. Camptocormia in idiopathic Parkinson´s disease: a focal myopathy of the paravertebral muscles. Mov Disord 2010;25(5):542-51. https://doi.org/10.1002/mds.22780
9. Nakane S, Yoshioka M, Oda N, Tani T, Cida K, Suzuki M, et al. The characteristics of camptocormia in patients with Parkinson´s disease: a large cross-sectional multicenter study in Japan. J Neurol Sci 2015;358(1-2):299-303. https://doi.org/10.1016/j.jns.2015.09.015
10. Kuo SH, Vullanganti M, Jimenez-Shahed J, Kwan JY. Camptocormia as a presentation of generalized inflammatory myopathy. Mucle Nerve 2009;40(6):1059-63. https://doi.org/10.1002/mus.21403
11. Lepoutre AC, Devos D, Blanchard-Dauphin A, Pardessus V, Maurage CA, Ferriby D, et al. A specific clinical pattern of camptocornia in Parkinson´s disease. J Neurol Neurosurg Psychiatry 2006;77(11):1229-34. https://doi.org/10.1136/jnnp.2005.083998
12. Ricq G, Laroche M. Acquired lumbar kyphosis caused in adults by primary paraspinal myopathy. Epidemiology, computed tomography findings and outcomes in a cohort of 23 patients. Joint Bone Spine 2000;67(6):528-32. https://doi.org/10.1016/S1297-319X(00)00203-7
13. Margraf NG, Granert O, Hampel J, Wrede A, Schulz-Schaeffer WJ, Deuschl G. Clinical definition of camptocormia in Parkinson's disease. Mov Disord Clin Pract 2016;4(3):349-57. https://doi.org/10.1002/mdc3.12437
14. Ghosh PS, Milone M. Camptocormia as presenting manifestation of a spectrum of myopathic disorders. Muscle Nerve 2015;52(6):1008-12. https://doi.org/10.1002/mus.24689
15. Skidmore F, Anderson K, Fram D, Weiner W. Psychogenic camptocormia. Mov Disord 2007;22(13):1974-5. https://doi.org/10.1002/mds.21708
16. Laroche M, Cintas P. Bent spine syndrome (camptocornia): a retrospective study of 63 patients. Join Bone Spine 2010;77(6):593-6. https://doi.org/10.1016/j.jbspin.2010.05.012
17. Doherty KM, Noyce AJ, Silveira-Moriyama L, Nisbet A, Quinn N, Lees AJ. Familiar camptocornia: from dystonia to myopathy. J Neurol Neurosurg Psychiatry 2012;83(3):350-1. https://doi.org/10.1136/jnnp.2011.246561
18. Laroche M, Ricq G, Delise MB. Bent spine syndrome: computed tomography study and isokinetic evaluation. Muscle Nerve 2002;25(2):189-93. https://doi.org/10.1002/mus.10016
19. Mahjneh I, Marconi G, Paetau A, Saarinen A, Salmi T, Somer H. Axial myopathy: an unrecognised entity. J Neurol 2002;249(6):730-4. https://doi.org/10.1007/s00415-002-0701-9
20. Ricq G, Laroche M. Cyphose lombaire acquise de l ádulte par myopathie primitive des muscles paravertébraux. Aspects épidémiologiques, tomodensitométriques et évolutifs, à propos d´une cohorte de 23 patients. Rev Rhum 2000;67(10):908-13. https://doi.org/10.1016/S1169-8330(00)00034-X
21. Laroche M, Delisle MB, Aziza R, Lagarrigue J, Mazieres B. Is camptocormia a primary muscular disease? Spine 1995;20(9):1011-6. https://doi.org/10.1097/00007632199505000-00007
22. Emery AE. The muscular dystrophies. Lancet 2002;359(9307): 687-95. https://doi.org/10.1016/S0140-6736(02)07815-7
23. Hund E, Heckl R, Goebel HH, Meinck HM. Inclusion body miositis presenting with isolated erected spinae paresis. Neurology 1995;45(5):993-4. https://doi.org/10.1212/wnl.45.5.993
24. Suzuki T, Matsuzaka H. Drug-induced Pisa syndrome (pleurothotonus). Mol Diag Ther 2002;16(3):165.
https://doi.org/10.2165/00023210-200216030-00003
25. Delcey V, Hachulla E, Michon-Pasturel U, Queyrel V, Hatron PY, Boutry N, et al. La camptocormie: un signe de myopathie axiale. À propos de sept observationes. Rev Med Interne 2002;23(2):144-54. https://doi.org/10.1016/S02488663(01)00530-6