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Neuropediatrics 2004; 35(1): 6-9
DOI: 10.1055/s-2003-43549
Original Article

Georg Thieme Verlag Stuttgart · New York

Treatment of Lateralisation and Subluxation of the Hip in Cerebral Palsy with Botulinum Toxin A: Preliminary Results Based on the Analysis of Migration Percentage Data

R. Placzek 1 , G. Deuretzbacher 1 , A. L. Meiss 1
  • 1Department of Orthopaedics, University Hospital Hamburg-Eppendorf, Hamburg, Germany
Further Information

Publication History

Received: April 24, 2003

Accepted after Revision: October 4, 2003

Publication Date:
04 March 2004 (online)

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Abstract

It has been reported that cerebral palsy patients with adductor spasm and lateralisation/subluxation of the hip can be treated with Botulinum toxin A, but statistical evaluation is lacking. We present the radiological results in 5 patients. The follow-up ranged from 18 (5 patients) to 24 months (4 patients). Reimers' migration percentage was chosen as parameter for lateralisation/subluxation. Statistical analysis was performed by the Wilcoxon test. The migration percentage improved from 51 % to 44 % at 9 months, 37 % at 18 months, and 34 % at 24 months. The improvement was significant from the 9th to the 18th month (p = 0.04).

Key words

Cerebral palsy - hip lateralisation/subluxation - adductor spasm - Botulinum toxin A (Btx-A)

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Dr. Richard Placzek

Klinik und Poliklinik für Orthopädie
Universitätsklinikum Hamburg-Eppendorf

Martinistraße 52

20246 Hamburg

Germany

Email: placzek@uke.uni-hamburg.de