Major surgical procedures in children with cerebral palsy.
There are 3 surgical procedures that patients with cerebral palsy (CP) undergo that may be considered major procedures: femoral osteotomies combined with pelvic osteotomies, spine fusion, and intrathecal baclofen pump implant for the treatment of spasticity. Many complications are known to occur at a higher rate in this population, and some may be avoided with prior awareness of the preoperative pathophysiology of the patient with CP.
Department of Anesthesiology and Critical Care Medicine, Nemours/Alfred I. duPont Hospital for Children, Post Office Box 269, Wilmington, DE 19899, USA; Department of Pediatrics, Jefferson Medical College, Thomas Jefferson University, Philadelphia, 111 S 11th Street, PA 19107, USA. Electronic address: mtheroux@nemours.org.
Mary C
MC
Theroux
Department of Anesthesiology and Critical Care Medicine, Nemours/Alfred I. duPont Hospital for Children, Post Office Box 269, Wilmington, DE 19899, USA; Department of Pediatrics, Jefferson Medical College, Thomas Jefferson University, Philadelphia, 111 S 11th Street, PA 19107, USA.
Sabina
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DiCindio
D000777:Anesthetics; D001418:Baclofen / Q000008:administration & dosage / Q000009:adverse effects; D002547:Cerebral Palsy / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D002648:Child; D006801:Humans; D007278:Injections, Spinal; D007738:Kyphosis / Q000601:surgery; D009125:Muscle Relaxants, Central / Q000008:administration & dosage / Q000009:adverse effects; D010027:Osteotomy; D019651:Plastic Surgery Procedures / Q000379:methods; D012306:Risk; D012600:Scoliosis / Q000601:surgery; D013514:Surgical Procedures, Operative / Q000009:adverse effects / Q000379:methods*
D000777:Anesthetics; D009125:Muscle Relaxants, Central; D001418:Baclofen
Baclofen pump; Cerebral palsy; Coagulopathy; Pelvic osteotomy; Spasticity; Spine fusion; Varus osteotomy