Botulinum Toxin Treatment prior to Posterior Spinal Fusion for Cervical Spondylotic Myelopathy in Patients with Athetoid Cerebral Palsy : A Report on Two Cases Nobuyuki Shimokawa 1 , Hidetoshi Ikeda 1 , Yoshihiko Fu 1 , Kazuhito Nakamura 2 1Department of Neurosurgery, Tsukazaki Hospital 2Department of Neurosurgery, Osaka City General Hospital Keyword: 頸椎症性脊髄症(cervical spondylotic myelopathy) , 脳性麻痺(cerebral palsy) , 後方固定(posterior fusion) , ボツリヌス毒素(botulinum toxin) pp.569-575
Published Date 2010/8/18
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Abstract : There have been several reports on surgical interventions in patients with adult cervical spondylotic myelopathy associated with cerebral palsy. We performed posterior fusion with pedicle and/or lateral mass screws combined with preoperative intramuscular injections of botulinum toxin in two patients. Two weeks before the surgery, we injected the patients with the botulinum toxin to alleviate cervical pain and to reduce the involuntary movement associated with cerebral palsy. Surgical results were good in both patients without rigid external fixation. Both patients were able to undergo rehabilitation after the surgery as soon as possible without any complication. We think that our pre surgical treatment with botulinum toxin is a useful optional treatment for cervical spondylotic myelopathy associated with cerebral palsy.

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電子版ISSN 印刷版ISSN 1881-3526 日本リハビリテーション医学会