Concomitant Correction of Spinal Deformity and Spasticity Management With Posterior Instrumentation and Baclofen Pump Implantation


Patients with spastic quadriplegia secondary to cerebral palsy manifest with severe spasticity and often with neuromuscular scoliosis. In order to optimize treatment and minimize morbidity in selected cases, the authors present a surgical option concurrently addressing these problems. This study reviews one case and describes the surgical technique in detail where intrathecal baclofen pump implantation and posterior spinal fusion are concomitantly performed to manage spasticity and scoliosis, respectively. (Journal of Surgical Orthopaedic Advances 18(3):155–158, 2009)

Michael N. Cabrera, MD, Lawrence P. Lai, MD, MS, Sybil B. Snow, PTA, and Jeffrey
S. Shilt, MD