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Scoliosis, spinal fusion, and intrathecal baclofen pump implantation.
Phys Med Rehabil Clin N Am. 2015 Feb; 26(1):79-88.PM

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.

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Authors+Show Affiliations

Scannell B
Department of Orthopaedics, Levine Children's Hospital, Carolinas Medical Center, 1001 Blythe Blvd, Suite 200, Charlotte, NC 28203, USA.
Yaszay B
Department of Pediatric Orthopaedics, Rady Children's Hospital San Diego, 3020 Children's Way, San Diego, CA 92123, USA. Electronic address: byaszay@rchsd.org.

MeSH

BaclofenCerebral PalsyHumansInfusion Pumps, ImplantableMuscle Relaxants, CentralMuscle SpasticityScoliosisSpinal Fusion

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

25479781

Citation

Scannell, Brian, and Burt Yaszay. "Scoliosis, Spinal Fusion, and Intrathecal Baclofen Pump Implantation." Physical Medicine and Rehabilitation Clinics of North America, vol. 26, no. 1, 2015, pp. 79-88.
Scannell B, Yaszay B. Scoliosis, spinal fusion, and intrathecal baclofen pump implantation. Phys Med Rehabil Clin N Am. 2015;26(1):79-88.
Scannell, B., & Yaszay, B. (2015). Scoliosis, spinal fusion, and intrathecal baclofen pump implantation. Physical Medicine and Rehabilitation Clinics of North America, 26(1), 79-88. https://doi.org/10.1016/j.pmr.2014.09.003
Scannell B, Yaszay B. Scoliosis, Spinal Fusion, and Intrathecal Baclofen Pump Implantation. Phys Med Rehabil Clin N Am. 2015;26(1):79-88. PubMed PMID: 25479781.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Scoliosis, spinal fusion, and intrathecal baclofen pump implantation. AU - Scannell,Brian, AU - Yaszay,Burt, PY - 2014/12/7/entrez PY - 2014/12/7/pubmed PY - 2015/8/22/medline KW - Cerebral palsy KW - Intrathecal baclofen pump KW - Scoliosis KW - Spinal fusion SP - 79 EP - 88 JF - Physical medicine and rehabilitation clinics of North America JO - Phys Med Rehabil Clin N Am VL - 26 IS - 1 N2 - 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. SN - 1558-1381 UR - https://www.unboundmedicine.com/medline/citation/25479781/Scoliosis_spinal_fusion_and_intrathecal_baclofen_pump_implantation_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1047-9651(14)00100-4 DB - PRIME DP - Unbound Medicine ER -