title: Intrathecal baclofen pump implantation in prone position for a cerebral palsy patient with severe scoliosis: a case report.
abstract: OBJECTIVE
  Intrathecal baclofen (ITB) pump implantation for cerebral palsy (CP) patients is usually performed in the lateral position; however, it might be difficult for some patients with severe deformity to take a lateral position during surgery.
  
  
  METHODS
  We report a case of ITB pump implantation in the prone position for a CP patient who exhibited uncontrollable opisthotonus with severe scoliosis.
  
  
  RESULTS
  ITB therapy effectively controlled her opisthotonus.
  
  
  CONCLUSIONS
  Our findings suggest that ITB therapy may be useful for CP patients with uncontrollable spasticity, dystonia, or opisthotonus who are not able to take a lateral position for pump implantation due to deformities of their extremities and spine.
authors.affiliation: Department of Neurosurgery, University of Fukui, Fukui, Japan.
authors.forename: Hidetaka
authors.initials: H
authors.lastname: Arishima
authors.forename: Ken-ichiro
authors.initials: K
authors.lastname: Kikuta
mesh_terms: D001418:Baclofen / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D015918:Infusion Pumps, Implantable; D007278:Injections, Spinal; D008875:Middle Aged; D009125:Muscle Relaxants, Central / Q000008:administration & dosage*; D012600:Scoliosis / Q000188:drug therapy*; D013116:Spinal Cord / Q000187:drug effects / Q000502:physiology
chemical_list: D009125:Muscle Relaxants, Central; D001418:Baclofen
keywords: Cerebral palsy; intrathecal baclofen; prone position; pump implantation; scoliosis