Concomitant correction of spinal deformity and spasticity management with posterior instrumentation and baclofen pump implantation.
Patients with spastic quadriplegia secondary to cerebral palsy manifest with severe spasticity and often with neuromuscular scoliosis. In order to optimize treatment and minimize morbidity in selected cases, the authors present a surgical option concurrently addressing these problems. This study reviews one case and describes the surgical technique in detail where intrathecal baclofen pump implantation and posterior spinal fusion are concomitantly performed to manage spasticity and scoliosis, respectively.
Department of Orthopardic Surgery, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
Michael N
MN
Cabrera
Lawrence P
LP
Lai
Sybil B
SB
Snow
Jeffrey S
JS
Shilt
D000293:Adolescent; D001418:Baclofen / Q000008:administration & dosage*; D001858:Bone Nails; D002547:Cerebral Palsy / Q000150:complications; D005260:Female; D006801:Humans; D015918:Infusion Pumps, Implantable; D007278:Injections, Spinal; D009125:Muscle Relaxants, Central / Q000008:administration & dosage*; D009128:Muscle Spasticity / Q000188:drug therapy* / Q000209:etiology; D019637:Orthopedic Procedures / Q000379:methods*; D013121:Spinal Curvatures / Q000209:etiology / Q000601:surgery*
D009125:Muscle Relaxants, Central; D001418:Baclofen