OBJECTIVE: To report a case illustrating the usefulness of botulinum toxin A in the treatment of spinal dystonia responsible for low back pain and postural disorders. METHODS: Critical appraisal of a case report. CASE REPORT: A young woman with cerebral palsy had lumbar paraspinal muscle dystonia responsible for pain and hyperlordosis unresponsive to oral medications for muscle spasm. Botulinum toxin A (Botox(R), 200 U) was injected into the paraspinal muscles at six sites, to good effect. DISCUSSION: The few reported cases consistently show a favorable effect of local botulinum toxin A injections in patients with painful paraspinal muscle dystonia related to neurological disease or chronic low back pain. CONCLUSION: Botulinum toxin A may be a useful treatment for incapacitating painful dystonia of the paraspinal muscles. This treatment improves posture in the sitting position and facilitates the fitting of orthotic devices. Furthermore, botulinum toxin A treatment may help to determine whether an intrathecal baclofen test is in order.
%0 Journal Article
%1 Gallien2004
%A Gallien, Philippe
%A Nicolas, Beno?t
%A Petrilli, Sabine
%A Kerdoncuff, Val?rie
%A Lassalles, Arnaud
%A Tallec, H?l?ne Le
%A Durufle, Aur?lie
%D 2004
%J Joint Bone Spine
%K Adult; Botulinum Toxin Type A; Cerebral Palsy; Dystonia; Female; Humans; Injections, Intramuscular; Low Back Pain; Neuromuscular Agents
%N 1
%P 76--78
%R 10.1016/S1297-319X(03)00124-6
%T Role for botulinum toxin in back pain treatment in adults with cerebral palsy: report of a case.
%U http://dx.doi.org/10.1016/S1297-319X(03)00124-6
%V 71
%X OBJECTIVE: To report a case illustrating the usefulness of botulinum toxin A in the treatment of spinal dystonia responsible for low back pain and postural disorders. METHODS: Critical appraisal of a case report. CASE REPORT: A young woman with cerebral palsy had lumbar paraspinal muscle dystonia responsible for pain and hyperlordosis unresponsive to oral medications for muscle spasm. Botulinum toxin A (Botox(R), 200 U) was injected into the paraspinal muscles at six sites, to good effect. DISCUSSION: The few reported cases consistently show a favorable effect of local botulinum toxin A injections in patients with painful paraspinal muscle dystonia related to neurological disease or chronic low back pain. CONCLUSION: Botulinum toxin A may be a useful treatment for incapacitating painful dystonia of the paraspinal muscles. This treatment improves posture in the sitting position and facilitates the fitting of orthotic devices. Furthermore, botulinum toxin A treatment may help to determine whether an intrathecal baclofen test is in order.
@article{Gallien2004,
abstract = {OBJECTIVE: To report a case illustrating the usefulness of botulinum toxin A in the treatment of spinal dystonia responsible for low back pain and postural disorders. METHODS: Critical appraisal of a case report. CASE REPORT: A young woman with cerebral palsy had lumbar paraspinal muscle dystonia responsible for pain and hyperlordosis unresponsive to oral medications for muscle spasm. Botulinum toxin A (Botox(R), 200 U) was injected into the paraspinal muscles at six sites, to good effect. DISCUSSION: The few reported cases consistently show a favorable effect of local botulinum toxin A injections in patients with painful paraspinal muscle dystonia related to neurological disease or chronic low back pain. CONCLUSION: Botulinum toxin A may be a useful treatment for incapacitating painful dystonia of the paraspinal muscles. This treatment improves posture in the sitting position and facilitates the fitting of orthotic devices. Furthermore, botulinum toxin A treatment may help to determine whether an intrathecal baclofen test is in order.},
added-at = {2014-07-19T19:31:11.000+0200},
author = {Gallien, Philippe and Nicolas, Beno?t and Petrilli, Sabine and Kerdoncuff, Val?rie and Lassalles, Arnaud and Tallec, H?l?ne Le and Durufle, Aur?lie},
biburl = {https://www.bibsonomy.org/bibtex/25128526efb803e0aba366752cd252adb/ar0berts},
doi = {10.1016/S1297-319X(03)00124-6},
groups = {public},
interhash = {e77aa8d5b94975648f2c52fee6b363e8},
intrahash = {5128526efb803e0aba366752cd252adb},
journal = {Joint Bone Spine},
keywords = {Adult; Botulinum Toxin Type A; Cerebral Palsy; Dystonia; Female; Humans; Injections, Intramuscular; Low Back Pain; Neuromuscular Agents},
month = Jan,
number = 1,
pages = {76--78},
pii = {S1297319X03001246},
pmid = {14769528},
timestamp = {2014-07-19T19:31:11.000+0200},
title = {Role for botulinum toxin in back pain treatment in adults with cerebral palsy: report of a case.},
url = {http://dx.doi.org/10.1016/S1297-319X(03)00124-6},
username = {ar0berts},
volume = 71,
year = 2004
}