title: Scoliosis, spinal fusion, and intrathecal baclofen pump implantation.
abstract: This article reviews the incidence, management, and complications of scoliosis in patients with cerebral palsy. Treatment of scoliosis in patients with cerebral palsy includes both nonoperative and operative management and often the decision to proceed with surgery is a multidisciplinary decision. Because of severe spasticity, many of these patients undergo intrathecal baclofen pump placement before, during, or after posterior spinal fusion. The complication rates can be high with intrathecal baclofen pump placement, but many patients can have significant benefit with this therapy.
authors.affiliation: Department of Orthopaedics, Levine Children's Hospital, Carolinas Medical Center, 1001 Blythe Blvd, Suite 200, Charlotte, NC 28203, USA.
authors.forename: Brian
authors.initials: B
authors.lastname: Scannell
authors.affiliation: Department of Pediatric Orthopaedics, Rady Children's Hospital San Diego, 3020 Children's Way, San Diego, CA 92123, USA. Electronic address: byaszay@rchsd.org.
authors.forename: Burt
authors.initials: B
authors.lastname: Yaszay
mesh_terms: D001418:Baclofen / Q000008:administration & dosage / Q000627:therapeutic use*; D002547:Cerebral Palsy / Q000150:complications*; D006801:Humans; D015918:Infusion Pumps, Implantable / Q000009:adverse effects; D009125:Muscle Relaxants, Central / Q000008:administration & dosage / Q000627:therapeutic use*; D009128:Muscle Spasticity / Q000188:drug therapy* / Q000209:etiology; D012600:Scoliosis / Q000209:etiology / Q000534:rehabilitation / Q000601:surgery*; D013123:Spinal Fusion
chemical_list: D009125:Muscle Relaxants, Central; D001418:Baclofen
keywords: Cerebral palsy; Intrathecal baclofen pump; Scoliosis; Spinal fusion