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The Effect of Visual Impairment on Postural Stability After Lumbar Spine Fracture: A Case Report and Review of the Literature – Lumbar Fusion

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This article discusses a case report of a 79-year-old blind patient who experienced spinal deformity after sustaining a compression fracture. The patient’s visual impairment was found to impact postural stability, leading to musculoskeletal abnormalities and abnormal gait patterns. Assessments were done to evaluate bone healing and other factors contributing to the deformity. The patient underwent treatment for osteoporosis and posterior spinal instrumentation, which resulted in a successful recovery. The study highlights the importance of vision in maintaining postural stability and emphasizes the need for early intervention and postural training in visually impaired individuals to prevent irreversible spinal deformities. Surgical or non-surgical interventions for spinal deformities in visually impaired patients should consider multiple factors. Further research is needed to develop effective interventions for improving postural stability and preventing the development of spinal deformities in visually impaired individuals

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

The role of vision in maintaining postural stability is crucial, and its loss, whether congenital or acquired, can significantly impact sensory-motor interactions, leading to musculoskeletal abnormalities and defective gait patterns. This case report discusses the complex interplay between visual impairment, post-traumatic kyphosis, and the development of spinal deformity in a 79-year-old blind patient. The patient sustained a simple fall resulting in an L1 compression fracture in 2016. Despite…

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Cureus. 2023 Dec 5;15(12):e49995. doi: 10.7759/cureus.49995. eCollection 2023 Dec.ABSTRACTThe role of vision in maintaining postural stability is crucial, and its loss, whether congenital or acquired, can significantly impact sensory-motor interactions, leading to musculoskeletal abnormalities and defective gait patterns. This case report discusses the complex interplay between visual impairment, post-traumatic kyphosis, and the development of spinal,

Cureus. 2023 Dec 5;15(12):e49995. doi: 10.7759/cureus.49995. eCollection 2023 Dec.

ABSTRACT

The role of vision in maintaining postural stability is crucial, and its loss, whether congenital or acquired, can significantly impact sensory-motor interactions, leading to musculoskeletal abnormalities and defective gait patterns. This case report discusses the complex interplay between visual impairment, post-traumatic kyphosis, and the development of spinal deformity in a 79-year-old blind patient. The patient sustained a simple fall resulting in an L1 compression fracture in 2016. Despite conservative treatment for the fracture, progressive spinal deformity became evident both clinically and radiographically. Further assessments, including evaluation of bone healing, facet arthroplasty, disc degeneration, and canal compromise, were performed. The patient’s altered gait and postural abnormalities were indicative of the impact of visual impairment on postural stability. After addressing osteoporosis through endocrinology consultation and medical management, the patient underwent posterior spinal instrumentation and deformity correction, leading to a successful post-operative recovery with a return to baseline functional status. Visual impairment disrupts postural stability by limiting sensory input and prompting compensatory mechanisms, which may increase postural sway and instability. This abnormal gait further contributes to spinal deformities, and the fear of falling can exacerbate postural instability, limiting mobility. Over time, persistent postural imbalance leads to the creation of a state of continual asymmetric stress related to the spinal axis, which can progress to the development of spinal deformities, creating a self-perpetuating cycle. This case underscores the significance of vision in postural stability and the adverse effects of visual impairment on spinal alignment. The development of spinal deformities in visually impaired individuals, especially in the presence of risk factors like osteoporosis, emphasizes the need for early intervention and postural training to prevent irreversible deformities. Decisions regarding surgical or non-surgical interventions for spinal deformities in visually impaired patients must consider multiple factors, including clinical symptoms, appearance, pain, functional limitations, and social issues. Future research should explore effective interventions for improving postural stability in visually impaired individuals and preventing the development of spinal deformity.

PMID:38179372 | PMC:PMC10766495 | DOI:10.7759/cureus.49995

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The Effect of Visual Impairment on Postural Stability After Lumbar Spine Fracture: A Case Report and Review of the Literature

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Cureus. 2023 Dec 5;15(12):e49995. doi: 10.7759/cureus.49995. eCollection 2023 Dec.ABSTRACTThe role of vision in maintaining postural stability is crucial, and its loss, whether congenital or acquired, can significantly impact sensory-motor interactions, leading to musculoskeletal abnormalities and defective gait patterns. This case report discusses the complex interplay between visual impairment, post-traumatic kyphosis, and the development of spinal

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