The influence of intrathecal baclofen pumps on outcomes following spinal fusion in non-ambulatory patients with cerebral palsy
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View abstract on PubMed
Summary
This summary is machine-generated.Children with intrathecal baclofen pumps (ITBPs) undergoing spinal fusion for cerebral palsy (CP) did not have increased overall complications. However, ITBPs were associated with higher surgical site infections and blood loss.
Area Of Science
- Pediatric Orthopedics
- Neurosurgery
- Spinal Surgery
Background
- Non-ambulatory cerebral palsy (CP) frequently involves neuromuscular scoliosis (NMS), necessitating surgical correction.
- Intrathecal baclofen pumps (ITBPs) are common for spasticity management in these children.
- The impact of ITBPs on spinal deformity surgery outcomes is not well-established.
Purpose Of The Study
- To compare surgical outcomes and complication rates in children with CP undergoing spinal fusion, with and without ITBPs.
- To evaluate the specific risks associated with ITBP presence during spinal fusion surgery.
Main Methods
- Retrospective analysis of pediatric patients with CP who underwent spinal fusion from 2001-2021.
- Comparison of complication incidence and surgical outcomes between patients with and without ITBPs.
- Statistical analysis using Fisher's exact tests and Mann-Whitney U tests.
Main Results
- 334 patients were included (163 with ITBP, 171 without).
- No significant increase in overall complications for the ITBP group (p=0.19).
- Increased odds of surgical site infection (OR 3.11, p=0.03), longer surgery duration (p<0.001), and higher blood loss (p=0.01) in the ITBP group.
Conclusions
- ITBP presence did not elevate general complication risk during spinal fusion in children with CP.
- Specific risks including surgical site infections, prolonged surgery, and increased blood loss were noted with ITBPs.
- Findings aid in counseling patients and families about surgical risks when ITBPs are present.
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