Abstract
Intrathecal baclofen (ITB) pump implantation for cerebral palsy (CP) patients is usually performed in the lateral position; however, it might be difficult for some patients with severe deformity to take a lateral position during surgery. We report a case of ITB pump implantation in the prone position for a CP patient who exhibited uncontrollable opisthotonus with severe scoliosis. ITB therapy effectively controlled her opisthotonus. Our findings suggest that ITB therapy may be useful for CP patients with uncontrollable spasticity, dystonia, or opisthotonus who are not able to take a lateral position for pump implantation due to deformities of their extremities and spine.
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