title: Role for botulinum toxin in back pain treatment in adults with cerebral palsy: report of a case.
abstract: OBJECTIVE
  To report a case illustrating the usefulness of botulinum toxin A in the treatment of spinal dystonia responsible for low back pain and postural disorders.
  
  
  METHODS
  Critical appraisal of a case report.
  
  
  METHODS
  A young woman with cerebral palsy had lumbar paraspinal muscle dystonia responsible for pain and hyperlordosis unresponsive to oral medications for muscle spasm. Botulinum toxin A (Botox(R), 200 U) was injected into the paraspinal muscles at six sites, to good effect.
  
  
  CONCLUSIONS
  The few reported cases consistently show a favorable effect of local botulinum toxin A injections in patients with painful paraspinal muscle dystonia related to neurological disease or chronic low back pain.
  
  
  CONCLUSIONS
  Botulinum toxin A may be a useful treatment for incapacitating painful dystonia of the paraspinal muscles. This treatment improves posture in the sitting position and facilitates the fitting of orthotic devices. Furthermore, botulinum toxin A treatment may help to determine whether an intrathecal baclofen test is in order.
authors.affiliation: Service de Médecine Physique et Réadaptation, CHU Pontchaillou, rue Henri le Guillou, 35033 Rennes, France. philippe-gallien@chu-Rennes.fr
authors.forename: Philippe
authors.initials: P
authors.lastname: Gallien
authors.forename: Benoît
authors.initials: B
authors.lastname: Nicolas
authors.forename: Sabine
authors.initials: S
authors.lastname: Petrilli
authors.forename: Valérie
authors.initials: V
authors.lastname: Kerdoncuff
authors.forename: Arnaud
authors.initials: A
authors.lastname: Lassalles
authors.forename: Hélène
authors.initials: H
authors.lastname: Le Tallec
authors.forename: Aurélie
authors.initials: A
authors.lastname: Durufle
mesh_terms: D000328:Adult; D019274:Botulinum Toxins, Type A / Q000008:administration & dosage / Q000627:therapeutic use*; D002547:Cerebral Palsy / Q000150:complications / Q000503:physiopathology*; D004421:Dystonia / Q000150:complications / Q000503:physiopathology*; D005260:Female; D006801:Humans; D007273:Injections, Intramuscular; D017116:Low Back Pain / Q000188:drug therapy* / Q000209:etiology; D009465:Neuromuscular Agents / Q000008:administration & dosage / Q000627:therapeutic use*
chemical_list: D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A