Objective: We intended to assess presence of cervical and lumbosacral spondylosis our patients with parkinsonism.

Background: We have observed that patients with Parkinson’s disease [PD] commonly have associated cervical and lumbosacral spondylosis. There is dearth of literature on this co-morbidity of PD.

Method: We serially assessed patients with PD attending our movement disorders clinic between January 2015 to January 2019 for presence of cervical and lumbosacral spondylosis, spondylolisthesis, lumbar or cervical canal stenosis, radiculopathy and/or myelo-radiculopathy.

Results: Amongst 237 patients [127 males] [mean age 71] with PD who attended the clinic, 151[63.7%] had comorbid symptoms related to cervical or lumbar spondylosis. 77 [32.5 %] had associated Cervical radiculopathy, 49[20.6 %] had cervical spondylotic myelopathy, 147 [62%] had Lumbosacral radiculopathy while 64 [27 %] had lumbar canal stenosis. Female gender, higher age and obesity were significantly associated with presence of lumbosacral radiculopathy. Low body weight, male gender and high age were associated with cervical spondylotic myelo-radiculopathy. Nearly 64 percent patients had spondylotic radiculopathy [cervical/ lumbosacral] while 21 percent patients had combined cervical as well as lumbar spondylosis.   Amongst these, 6 patients with cervical disease had undergone surgery and only one felt subjective recovery. Amongst patients with lumbar disease, 20 had undergone surgery in the past out of which only 5 felt subjective improvement post-surgery.

Conclusion: Spondylosis and spondylotic radiculopathy / myelo-radiculopathy are common comorbidity of PD. The caring of PD also needs assessment and management of spondylosis related complications. Management guidelines of PD need to incorporate recommendations on these comorbidities too.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/cervical-and-lumbosacral-spondylosis-is-common-in-patients-with-parkinsonism-in-rural-western-india/