Baclofen pump implantation and spinal fusion in children: techniques and complications

Spine
Andrzej BorowskiFreeman Miller

Abstract

Retrospective clinical and radiographic review of complications related to intrathecal baclofen therapy (ITB) and posterior spine fusion (PSF) in patients with cerebral palsy. To report the technical considerations and complications associated with ITB in patients undergoing PSF. 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. 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. 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 infecti...Continue Reading

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Citations

Sep 21, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Neil HaranhalliJonathan Roth
Dec 25, 2009·Journal of Pediatric Orthopedics·Andrzej BorowskiFreeman Miller
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