Cervical myelopathy in the hyperkinetic form of cerebral palsy: combination of botulinum therapy with surgical treatment

Korsunskaya, L. L.; Mikliaiev, O. O.; Matyazhova, N. A.; Sidorenko, N. A.; Romensky, A. O.; Torgovyi, D. I.; Kuzmishchenko, I. V.; Krapro, J. A.; Torgovaya, M. V.

doi:10.17116/jnevro202012002192

Cited by 1 publication

(1 citation statement)

References 9 publications

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“…The use of botulinum toxin to control cervical movements perioperatively has been reported in the surgical literature since 1996 [ 56 ]. Previous studies demonstrated that botulinum toxin decreased involuntary neck movements, facilitating postoperative spinal fusion and prevention of possible complications and reoperation [ 6 , 57 , 58 ]. Kim et al [ 38 ] reported that botulinum toxin injections significantly lowered the incidence of a second operation in a 5-year follow-up study of 24 patients with athetoid CP.…”

Section: Surgical Methodsmentioning

confidence: 99%

Surgical Strategies and Perioperative Considerations for Cervical Deformity With Cerebral Palsy: A Comprehensive Review of the Literature

Kim

et al. 2022

Neurospine

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The complex nature of the cervical spine makes surgical intervention challenging when treating cervical deformity in patients with cerebral palsy (CDCP). However, few studies have investigated the unique characteristics of cerebral palsy that create the need for surgery, the most effective surgical strategies, and the possible perioperative complications. The intended benefit and the potential risk of postoperative complications must be considered when deciding to operate for CDCP. Because the approach and correction strategy depend on the type of cervical deformity, as well as the patient’s comorbidities and functional status, a customized strategy is needed. Perioperatively, botulinum toxin injections and muscle division techniques can help control excessive involuntary movements and improve the spinal fusion success rate. Surgical intervention for CDCP requires a multidisciplinary approach, and the information presented in this article is intended to help in the perioperative management and surgical treatment of CDCP.

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Section: Surgical Methodsmentioning

confidence: 99%

Surgical Strategies and Perioperative Considerations for Cervical Deformity With Cerebral Palsy: A Comprehensive Review of the Literature

Kim

et al. 2022

Neurospine

View full text Add to dashboard Cite

show abstract

Cervical myelopathy in the hyperkinetic form of cerebral palsy: combination of botulinum therapy with surgical treatment

Cited by 1 publication

References 9 publications

Surgical Strategies and Perioperative Considerations for Cervical Deformity With Cerebral Palsy: A Comprehensive Review of the Literature

Surgical Strategies and Perioperative Considerations for Cervical Deformity With Cerebral Palsy: A Comprehensive Review of the Literature

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