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Baclofen pump implantation and spinal fusion in children: techniques and complications.
Spine (Phila Pa 1976). 2008 Aug 15; 33(18):1995-2000.S

Abstract

STUDY DESIGN

Retrospective clinical and radiographic review of complications related to intrathecal baclofen therapy (ITB) and posterior spine fusion (PSF) in patients with cerebral palsy.

OBJECTIVE

To report the technical considerations and complications associated with ITB in patients undergoing PSF.

SUMMARY OF BACKGROUND DATA

A common treatment for spasticity in children with cerebral palsy is ITB. This population also has a high incidence of severe spinal deformities requiring PSF.

METHODS

There were 4 groups: A, 26 patients with PSF before ITB; B, 11 patients who underwent PSF and ITB concurrently; C, 25 patients with PSF after ITB; and D, the control group: 103 patients with ITB only. Complications and infections were tabulated from a retrospective chart review and ongoing surveillance data. Multiple chi analyses were used to compare the number of patients who experienced complications and infections among the groups. The operative sequence and catheter management techniques for the various scenarios are described in detail in the text.

RESULTS

The outcome by group was as follows: group A had 5 catheter malfunctions and 2 infections at the pump site, group B had 2 catheter malfunctions, 1 hypermobile pump and 1 infection at the spinal site, group C had 3 catheter malfunctions, 1 infection at the pump site and 1 infection at the spinal site. The control group had 23 catheter malfunctions, 5 pump failures, 8 infections at the pump site, and 1 infection at the spinal site. Multiple chi analyses showed no difference in the number of infection or device/catheter complications among any of the groups.

CONCLUSION

The rate of ITB therapy complications is not increased despite PSF in any order of the procedures. There are technical details in each situation that require attention. With understanding of the appropriate techniques of catheter management, ITB pumps can be implanted and managed without an increased complication rate before, during or after spinal fusion surgery.

Authors+Show Affiliations

Department of Orthopedics, Alfred I duPont Hospital for Children, Nemours Children's Clinic, Wilmington, DE 19899, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

18708932

Citation

Borowski, Andrzej, et al. "Baclofen Pump Implantation and Spinal Fusion in Children: Techniques and Complications." Spine, vol. 33, no. 18, 2008, pp. 1995-2000.
Borowski A, Shah SA, Littleton AG, et al. Baclofen pump implantation and spinal fusion in children: techniques and complications. Spine. 2008;33(18):1995-2000.
Borowski, A., Shah, S. A., Littleton, A. G., Dabney, K. W., & Miller, F. (2008). Baclofen pump implantation and spinal fusion in children: techniques and complications. Spine, 33(18), 1995-2000. https://doi.org/10.1097/BRS.0b013e31817bab42
Borowski A, et al. Baclofen Pump Implantation and Spinal Fusion in Children: Techniques and Complications. Spine. 2008 Aug 15;33(18):1995-2000. PubMed PMID: 18708932.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Baclofen pump implantation and spinal fusion in children: techniques and complications. AU - Borowski,Andrzej, AU - Shah,Suken A, AU - Littleton,Aaron G, AU - Dabney,Kirk W, AU - Miller,Freeman, PY - 2008/8/19/pubmed PY - 2009/2/21/medline PY - 2008/8/19/entrez SP - 1995 EP - 2000 JF - Spine JO - Spine VL - 33 IS - 18 N2 - STUDY DESIGN: Retrospective clinical and radiographic review of complications related to intrathecal baclofen therapy (ITB) and posterior spine fusion (PSF) in patients with cerebral palsy. OBJECTIVE: To report the technical considerations and complications associated with ITB in patients undergoing PSF. SUMMARY OF BACKGROUND DATA: A common treatment for spasticity in children with cerebral palsy is ITB. This population also has a high incidence of severe spinal deformities requiring PSF. METHODS: There were 4 groups: A, 26 patients with PSF before ITB; B, 11 patients who underwent PSF and ITB concurrently; C, 25 patients with PSF after ITB; and D, the control group: 103 patients with ITB only. Complications and infections were tabulated from a retrospective chart review and ongoing surveillance data. Multiple chi analyses were used to compare the number of patients who experienced complications and infections among the groups. The operative sequence and catheter management techniques for the various scenarios are described in detail in the text. RESULTS: The outcome by group was as follows: group A had 5 catheter malfunctions and 2 infections at the pump site, group B had 2 catheter malfunctions, 1 hypermobile pump and 1 infection at the spinal site, group C had 3 catheter malfunctions, 1 infection at the pump site and 1 infection at the spinal site. The control group had 23 catheter malfunctions, 5 pump failures, 8 infections at the pump site, and 1 infection at the spinal site. Multiple chi analyses showed no difference in the number of infection or device/catheter complications among any of the groups. CONCLUSION: The rate of ITB therapy complications is not increased despite PSF in any order of the procedures. There are technical details in each situation that require attention. With understanding of the appropriate techniques of catheter management, ITB pumps can be implanted and managed without an increased complication rate before, during or after spinal fusion surgery. SN - 1528-1159 UR - https://www.unboundmedicine.com/medline/citation/18708932/Baclofen_pump_implantation_and_spinal_fusion_in_children:_techniques_and_complications_ L2 - http://dx.doi.org/10.1097/BRS.0b013e31817bab42 DB - PRIME DP - Unbound Medicine ER -