Botulinum toxin and surgical intervention in children and adolescents with cerebral palsy: who, when and why do we treat?


This audit aimed to increase understanding of the long-term outcomes of evidence-based medical and surgical interventions to improve gross motor function in children and adolescents with Cerebral Palsy. Retrospective audit of a birth cohort (2000-2009) attending a tertiary service in Western Australia. Results: The cohort comprises 771 patients aged 8 to 17?years. Percentage of children receiving no Botulinum Toxin treatments in each Gross Motor Functional Classification System level was: I: 40%, II: 26%, III: 33%, IV: 28% and V: 46%. Of the total cohort, 53% of children received 4 or less Botulinum Toxin treatments and 3.7% received more than 20 treatments. Statistically significant difference in the rate of use of Botulinum Toxin pre and post-surgery (p?

Authors: Valentine J, Davidson SA, Bear N, Blair E, Ward R, Thornton A, Stannage K, Watson L, Forbes D, Elliott C.
; Full Source: Disability and Rehabilitation. 2019 Aug 15:1-8. doi: 10.1080/09638288.2019.1644381. [Epub ahead of print]