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ACE Report #4864
Ace Report Cover Pediatric Orthopaedics

Cerebral Palsy: Botulinum toxin A with hip abduction brace doesn't reduce need for surgery

Study Type:Therapy
OE Level Evidence:3
Journal Level of Evidence:N/A

The impact of botulinum toxin A and abduction bracing on long-term hip development in children with cerebral palsy

Dev Med Child Neurol. 2012 Aug;54(8):743-7. doi: 10.1111/j.1469-8749.2012.04340.x. Epub 2012 Jun 12

Contributing Authors: K Willoughby SG Ang P Thomason HK Graham

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46 children with bilateral spastic cerebral palsy (CP) were studied to evaluate the long term effects of 3 year treatment with botulinum toxin lead A (BoNT-A) injections with hip abduction bracing, compared to usual care. In a 10 year mean follow up, BoNT-A injections with abduction bracing did not improve hip development or reduce the need for reconstructive or preventive surgery for hip displace...

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