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baclofen and Postoperative Complications

baclofen has been researched along with Postoperative Complications in 33 studies

Postoperative Complications: Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.

Research Excerpts

ExcerptRelevanceReference
"In patients with cerebral palsy (CP), we determine the impact of intrathecal baclofen pumps (ITBPs) on scoliosis curve progression before posterior spine fusion (PSF) and its effects on surgical outcome."7.96Does an intrathecal baclofen pump impact scoliosis progression and complicate posterior spine fusion in patients with cerebral palsy? ( Halanski, MA; Hetzel, SJ; Lins, LAB; Nechyporenko, AV; Noonan, KJ, 2020)
"OBJECTIVE Many patients undergoing spinal fusion for neuromuscular scoliosis have preexisting neurosurgical implants, including ventricular shunts (VSs) for hydrocephalus and baclofen pumps (BPs) for spastic cerebral palsy."7.88Complication rates for preexisting baclofen pumps and ventricular shunts following scoliosis correction: a preliminary study. ( Bonfield, CM; Chotai, S; Dallas, J; Guidry, BS; Sborov, KD, 2018)
"Compare a group of individuals with cerebral palsy (CP) who had intrathecal baclofen (ITB) pumps to a group of individuals with CP who did not have ITB pumps in order to determine if there was a difference in the prevalence of new-onset neuromuscular scoliosis, an increased rate of progression of preexisting neuromuscular scoliosis, or an increased rate of posterior spine fusion surgery in skeletally immature individuals with CP who had ITB pumps."7.85Does Intrathecal Baclofen Therapy Increase Prevalence and/or Progression of Neuromuscular Scoliosis? ( Krach, LE; Novotny, SA; Walker, KR, 2017)
"We report the occurrence of delayed postoperative coma in five of nine consecutive children following surgery for insertion of baclofen infusion pumps."7.71Reversible coma in children after improper baclofen pump insertion. ( Anderson, KJ; Brown, K; Farmer, JP, 2002)
"In patients with cerebral palsy (CP), we determine the impact of intrathecal baclofen pumps (ITBPs) on scoliosis curve progression before posterior spine fusion (PSF) and its effects on surgical outcome."3.96Does an intrathecal baclofen pump impact scoliosis progression and complicate posterior spine fusion in patients with cerebral palsy? ( Halanski, MA; Hetzel, SJ; Lins, LAB; Nechyporenko, AV; Noonan, KJ, 2020)
"OBJECTIVE Many patients undergoing spinal fusion for neuromuscular scoliosis have preexisting neurosurgical implants, including ventricular shunts (VSs) for hydrocephalus and baclofen pumps (BPs) for spastic cerebral palsy."3.88Complication rates for preexisting baclofen pumps and ventricular shunts following scoliosis correction: a preliminary study. ( Bonfield, CM; Chotai, S; Dallas, J; Guidry, BS; Sborov, KD, 2018)
"Compare a group of individuals with cerebral palsy (CP) who had intrathecal baclofen (ITB) pumps to a group of individuals with CP who did not have ITB pumps in order to determine if there was a difference in the prevalence of new-onset neuromuscular scoliosis, an increased rate of progression of preexisting neuromuscular scoliosis, or an increased rate of posterior spine fusion surgery in skeletally immature individuals with CP who had ITB pumps."3.85Does Intrathecal Baclofen Therapy Increase Prevalence and/or Progression of Neuromuscular Scoliosis? ( Krach, LE; Novotny, SA; Walker, KR, 2017)
"OBJECTIVE Medically refractory spasticity and dystonia are often alleviated with intrathecal baclofen (ITB) administration through an indwelling catheter inserted in the lumbar spine."3.85Image-guided intrathecal baclofen pump catheter implantation: a technical note and case series. ( Berde, C; Dasenbrock, HH; O'Brien, CP; Padua, H; Robertson, FC; Robinson, S, 2017)
"A male patient with adrenoleukodystrophy and a baclofen pump implant was admitted to the urology department with bladder stones."3.75Retraction of an intrathecal baclofen infusion catheter following suprapubic cystotomy: a case report. ( Heesakkers, JP; Martens, FM; Somford, DM; van den Burg, MJ; van Kuppevelt, DH, 2009)
"A 52-year-old woman with bilateral leg spasticity because of spinal multiple sclerosis underwent baclofen pump implantation, which was subcutaneously placed in the right upper quadrant."3.75Tangled catheter as a rare cause of baclofen pump malfunction. ( Fukuhara, T; Kuyama, H; Namba, Y; Tanaka, T, 2009)
"In this retrospective study, 20 spastic quadriplegic cerebral palsy (CP) patients with baclofen pumps, who underwent spinal fusion and instrumentation for neuromuscular scoliosis, were matched for weight, age, and type of fusion with patients without pumps."3.74Outcomes of posterior spinal fusion and instrumentation in patients with continuous intrathecal baclofen infusion pumps. ( Ayyangar, RN; Caird, MS; Drongowski, A; Farley, FA; Garton, H; Hensinger, RN; Palanca, AA, 2008)
"We report the occurrence of delayed postoperative coma in five of nine consecutive children following surgery for insertion of baclofen infusion pumps."3.71Reversible coma in children after improper baclofen pump insertion. ( Anderson, KJ; Brown, K; Farmer, JP, 2002)
"Trigeminal neuralgia is a paroxysmal and severely disabling facial pain."2.39The medical and surgical management of trigeminal neuralgia. ( Maxwell, S; Sidebottom, A, 1995)
"Patients with a spinal origin of spasticity, a lower modified Rankin Scale and a higher Barthel Index have a higher risk to sustain a complication."1.48Eleven years' experience with Intrathecal Baclofen - Complications, risk factors. ( Fava, E; Fritz, J; Hitzenberger, G; Laimer, I; Matzak, H; Pucks-Faes, E; Saltuari, L; Verrienti, G, 2018)
"To indicate the appropriate baclofen dosage to control severe spasticity of spinal origin and to develop the optimal administration protocol for long-term intrathecal baclofen (ITB) therapy."1.48The dosage and administration of long-term intrathecal baclofen therapy for severe spasticity of spinal origin. ( Hayashi, T; Kawano, O; Maeda, T; Masuda, M; Morishita, Y; Sakai, H; Takao, T; Ueta, T, 2018)

Research

Studies (33)

TimeframeStudies, this research(%)All Research%
pre-19901 (3.03)18.7374
1990's2 (6.06)18.2507
2000's14 (42.42)29.6817
2010's13 (39.39)24.3611
2020's3 (9.09)2.80

Authors

AuthorsStudies
Perez, EA1
Ray, E1
Gold, CJ1
Park, BJ1
Piscopo, A1
Carnahan, RM1
Banks, M1
Sanders, RD1
Olinger, CR1
Mueller, RN1
Woodroffe, RW1
Benedičič, M1
Groleger Sršen, K1
Grabljevec, K1
Majdič, N1
Haber, B1
Lins, LAB1
Nechyporenko, AV1
Halanski, MA1
Hetzel, SJ1
Noonan, KJ1
Thind, M1
Cohen, DA1
Walker, KR1
Novotny, SA1
Krach, LE1
Lam, SK1
Mayer, RR1
Vedantam, A1
A Staggers, K1
Harris, DA1
Pan, IW1
Buxton, K1
Dallas, J1
Sborov, KD1
Guidry, BS1
Chotai, S1
Bonfield, CM1
Pucks-Faes, E1
Hitzenberger, G1
Matzak, H1
Fava, E1
Verrienti, G1
Laimer, I1
Fritz, J1
Saltuari, L1
Kawano, O1
Masuda, M1
Takao, T1
Sakai, H1
Morishita, Y1
Hayashi, T1
Ueta, T1
Maeda, T1
Lee, AR1
Cho, YW1
Lee, JM1
Shin, YJ1
Han, IS1
Lee, HK1
Stroud, J1
Scattoloni, J1
Blasingim, M1
Nafiu, OO1
Thakur, SK1
Rubin, BA1
Harter, DH1
Saulino, M1
Turner, M2
Miesel, K1
Cochran, FR1
Stromberg, K1
Fehrmann, E1
Markert, M1
Spencer, R1
Robinson, S1
Robertson, FC1
Dasenbrock, HH1
O'Brien, CP1
Berde, C1
Padua, H1
Patti, F1
Pappalardo, A1
Lo Fermo, S1
Cimino, V1
Castiglione, A1
Zappia, M1
Borowski, A1
Shah, SA1
Littleton, AG1
Dabney, KW1
Miller, F1
Martens, FM1
Somford, DM1
van Kuppevelt, DH1
van den Burg, MJ1
Heesakkers, JP1
Fjelstad, AB1
Hommelstad, J1
Sorteberg, A1
Stetkarova, I1
Yablon, SA1
Kofler, M1
Stokic, DS1
Martin, TW1
Mayhew, JF1
Delhaas, E1
Goslinga, S1
Atiyeh, BS1
Hayek, SN1
Skaff, GS1
Araj, AM1
Chamoun, RB1
Albright, AL1
Pattisapu, JV1
Motta, F1
Buonaguro, V1
Stignani, C1
Caird, MS1
Palanca, AA1
Garton, H1
Hensinger, RN1
Ayyangar, RN1
Drongowski, A1
Farley, FA1
Vanhauwaert, DJ1
Kalala, JP1
Baert, E1
Hallaert, G1
Crombez, E1
Caemaert, J1
Van Roost, D1
Fukuhara, T1
Tanaka, T1
Namba, Y1
Kuyama, H1
Sidebottom, A1
Maxwell, S1
Marino, RA1
Cairns, K1
Stein, J1
Anderson, KJ1
Farmer, JP1
Brown, K1
Iacono, RP1
Linford, J1
Tourian, A1
Sandyk, R1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Feasibility of Measuring Cerebrospinal Fluid (CSF) Signatures in Subjects With Intrathecal Catheter-Related Problems[NCT01117090]47 participants (Actual)Observational2010-06-30Completed
Intrathecal (IT) Baclofen Drug Distribution Pilot Study[NCT02903823]Phase 427 participants (Actual)Interventional2016-04-22Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Classification of Catheter Function by CSF Signatures vs. Physician's Standard Trouble-shooting Diagnosis

Collect and characterize, by comparison with the physician's standard trouble-shooting diagnosis, CSF signatures recorded in subjects who have an infusion system who present with signs and/or symptoms of possible catheter-related problems or failure. (NCT01117090)
Timeframe: 1 day

InterventionSubjects whose CSF data agree with MD Dx (Number)
Subjects With Normal Catheter Function by Physician Diagnosis13
Subjects With Catheter Complications by Physician Diagnosis16

The Relationship Between Catheter Flow Resistance Check Data and Physician's Standard Trouble-shooting Diagnosis

Characterize the relationship between pressure decay-to-baseline time (in seconds) and the physician's standard trouble-shooting diagnosis (NCT01117090)
Timeframe: 1 day

Interventionseconds (Mean)
Subjects With Normal Catheter Function by Physician Diagnosis6.4
Subjects With Catheter Complications by Physician Diagnosis19.9

The Relationship Between CSF Pressure Data and Physician's Standard Trouble-shooting Diagnosis During Physical Task Protocol: Cough

Collect and characterize, by comparison with the physician's standard trouble-shooting diagnosis, the mean change in CSF pressure data during the physical task of a cough (NCT01117090)
Timeframe: 1 day

InterventionmmHg (Mean)
Subjects With Normal Catheter Function by Physician Diagnosis21.0
Subjects With Catheter Complications by Physician Diagnosis6.6

The Relationship Between CSF Pressure Data and Physician's Standard Trouble-shooting Diagnosis During Physical Task Protocol: Valsalva

Collect and characterize, by comparison with the physician's standard trouble-shooting diagnosis, the mean change in CSF pressure data during the physical task of a valsalva maneuver (NCT01117090)
Timeframe: 1 day

InterventionmmHg (Mean)
Subjects With Normal Catheter Function by Physician Diagnosis18.7
Subjects With Catheter Complications by Physician Diagnosis4.8

Subjects Experiencing Maximal MAS Change From Baseline - Spasticity of Cerebral Origin

"The Modified Ashworth Scale (MAS) is a 6-point scale (Standard MAS scale values: 0, 1, 1.5, 2, 3, or 4) used to evaluate spasticity based on grading muscle tone by moving joints. The MAS scores in this cohort are measured in biceps, triceps and forearm flexor muscles in upper extremities; and quadriceps, hamstrings and gastrocnemius muscles in lower extremities. The score ranges from 0 (no increase in muscle tone) to 4 (affected part(s) rigid in flexion or extension). Improvement in spasticity was a reduction in MAS score by 1 point across a joint tested. Maximal MAS change is the sum of MAS score reduction in all four limbs tested.~This outcome looks at subjects with spasticity of cerebral origin." (NCT02903823)
Timeframe: Baseline to 6 hours post-injection

InterventionParticipants (Count of Participants)
Cervical level 4 injection siteThoracic level 3 injection siteThoracic level 10 injection siteLumbar lever 2 injection site
Subjects With Max MAS Change8733

Subjects Experiencing Maximal MAS Change From Baseline - Spasticity of Spinal Origin

"The Modified Ashworth Scale (MAS) is a 6-point scale (Standard MAS scale values: 0, 1, 1.5, 2, 3, or 4) used to evaluate spasticity based on grading muscle tone by moving joints. The MAS scores in this cohort are measured in biceps, triceps and forearm flexor muscles in upper extremities; and quadriceps, hamstrings and gastrocnemius muscles in lower extremities. The score ranges from 0 (no increase in muscle tone) to 4 (affected part(s) rigid in flexion or extension). Improvement in spasticity was a reduction in MAS score by 1 point across a joint tested. Maximal MAS change is the sum of MAS score reduction in all four limbs tested.~This outcome looks at subjects with spasticity of spinal origin." (NCT02903823)
Timeframe: Baseline to 6 hours post-injection

InterventionParticipants (Count of Participants)
Cervical spine level 4 injection siteThoracic level 3 injection siteThoracic level 10 injection siteLumbar level 2 injection site
Subjects With MAS Change - Based on Site of Injection4253

Reviews

2 reviews available for baclofen and Postoperative Complications

ArticleYear
Procedure- and device-related complications of intrathecal baclofen administration for management of adult muscle hypertonia: a review.
    Neurorehabilitation and neural repair, 2010, Volume: 24, Issue:7

    Topics: Adult; Baclofen; Humans; Infusion Pumps, Implantable; Injections, Spinal; Muscle Hypertonia; Postope

2010
The medical and surgical management of trigeminal neuralgia.
    Journal of clinical pharmacy and therapeutics, 1995, Volume: 20, Issue:1

    Topics: Baclofen; Carbamazepine; Combined Modality Therapy; Facial Nerve; Humans; Phenytoin; Postoperative C

1995

Other Studies

31 other studies available for baclofen and Postoperative Complications

ArticleYear
Postoperative Use of the Muscle Relaxants Baclofen and/or Cyclobenzaprine Associated With an Increased Risk of Delirium Following Lumbar Fusion.
    Spine, 2023, Dec-15, Volume: 48, Issue:24

    Topics: Aged; Baclofen; Cohort Studies; Emergence Delirium; Humans; Muscles; Postoperative Complications; Re

2023
Twenty years of intrathecal baclofen therapy in Slovenia: a retrospective single-center analysis of complications.
    International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation, 2023, Sep-01, Volume: 46, Issue:3

    Topics: Baclofen; Female; Humans; Infusion Pumps, Implantable; Injections, Spinal; Muscle Relaxants, Central

2023
Does an intrathecal baclofen pump impact scoliosis progression and complicate posterior spine fusion in patients with cerebral palsy?
    Spine deformity, 2020, Volume: 8, Issue:1

    Topics: Adolescent; Adult; Baclofen; Cerebral Palsy; Child; Disease Progression; Female; Humans; Infusion Pu

2020
Pulmonary Embolism Presenting as Persistent Hiccups.
    The American journal of medicine, 2018, Volume: 131, Issue:2

    Topics: Anticoagulants; Baclofen; Computed Tomography Angiography; Elective Surgical Procedures; Enoxaparin;

2018
Does Intrathecal Baclofen Therapy Increase Prevalence and/or Progression of Neuromuscular Scoliosis?
    Spine deformity, 2017, Volume: 5, Issue:6

    Topics: Adolescent; Baclofen; Case-Control Studies; Cerebral Palsy; Chi-Square Distribution; Child; Disease

2017
Readmission and complications within 30 days after intrathecal baclofen pump placement.
    Developmental medicine and child neurology, 2018, Volume: 60, Issue:10

    Topics: Adolescent; Baclofen; Child; Female; Humans; Infusion Pumps, Implantable; Infusions, Spinal; Male; M

2018
Balancing the benefits of intrathecal baclofen pump surgery with potential postoperative complications.
    Developmental medicine and child neurology, 2018, Volume: 60, Issue:10

    Topics: Baclofen; Humans; Infusion Pumps, Implantable; Injections, Spinal; Muscle Relaxants, Central; Muscle

2018
Complication rates for preexisting baclofen pumps and ventricular shunts following scoliosis correction: a preliminary study.
    Journal of neurosurgery. Pediatrics, 2018, Volume: 22, Issue:1

    Topics: Adolescent; Baclofen; Child; Female; Follow-Up Studies; Humans; Infusion Pumps, Implantable; Male; M

2018
Eleven years' experience with Intrathecal Baclofen - Complications, risk factors.
    Brain and behavior, 2018, Volume: 8, Issue:5

    Topics: Adolescent; Adult; Aged; Baclofen; Catheterization; Child; Child, Preschool; Female; Humans; Infusio

2018
The dosage and administration of long-term intrathecal baclofen therapy for severe spasticity of spinal origin.
    Spinal cord, 2018, Volume: 56, Issue:10

    Topics: Baclofen; Drug Tolerance; Follow-Up Studies; Humans; Infusion Pumps, Implantable; Injections, Spinal

2018
Treatment of persistent postoperative hiccups with stellate ganglion block: Three case reports.
    Medicine, 2018, Volume: 97, Issue:48

    Topics: Adult; Aged; Anesthetics, Local; Autonomic Nerve Block; Baclofen; Hiccup; Humans; Male; Muscle Relax

2018
Intrathecal baclofen toxicity: an unusual cause of paediatric postoperative coma and respiratory depression.
    European journal of anaesthesiology, 2014, Volume: 31, Issue:6

    Topics: Adolescent; Baclofen; Cerebral Palsy; Coma; Humans; Injections, Spinal; Male; Muscle Relaxants, Cent

2014
Long-term follow-up for lumbar intrathecal baclofen catheters placed using the paraspinal subfascial technique.
    Journal of neurosurgery. Pediatrics, 2016, Volume: 17, Issue:3

    Topics: Adolescent; Adult; Baclofen; Catheterization; Catheters, Indwelling; Child; Child, Preschool; Dyston

2016
Can Cerebrospinal Fluid Pressure Detect Catheter Complications in Patients Who Experience Loss of Effectiveness With Intrathecal Baclofen Therapy?
    Neuromodulation : journal of the International Neuromodulation Society, 2017, Volume: 20, Issue:2

    Topics: Adolescent; Adult; Aged; Algorithms; Baclofen; Catheters, Indwelling; Cerebrospinal Fluid Pressure;

2017
Image-guided intrathecal baclofen pump catheter implantation: a technical note and case series.
    Journal of neurosurgery. Spine, 2017, Volume: 26, Issue:5

    Topics: Adolescent; Adult; Anesthesia, General; Baclofen; Catheters, Indwelling; Cerebral Palsy; Cone-Beam C

2017
Life-threatening constipation induced by intrathecal baclofen therapy.
    European neurology, 2008, Volume: 60, Issue:2

    Topics: Adult; Baclofen; Constipation; Female; Humans; Hypoxia, Brain; Ileal Diseases; Infusion Pumps, Impla

2008
Baclofen pump implantation and spinal fusion in children: techniques and complications.
    Spine, 2008, Aug-15, Volume: 33, Issue:18

    Topics: Adolescent; Adult; Baclofen; Child; Humans; Infusion Pumps, Implantable; Postoperative Complications

2008
Retraction of an intrathecal baclofen infusion catheter following suprapubic cystotomy: a case report.
    Journal of rehabilitation medicine, 2009, Volume: 41, Issue:1

    Topics: Adrenoleukodystrophy; Adult; Baclofen; Cystotomy; Equipment Failure; Humans; Infusion Pumps, Implant

2009
Infections related to intrathecal baclofen therapy in children and adults: frequency and risk factors.
    Journal of neurosurgery. Pediatrics, 2009, Volume: 4, Issue:5

    Topics: Adolescent; Adult; Aged; Anti-Bacterial Agents; Baclofen; Bacterial Infections; Child; Child, Presch

2009
Baclofen pumps: comment on Anderson et al.
    Paediatric anaesthesia, 2003, Volume: 13, Issue:7

    Topics: Anti-Arrhythmia Agents; Atropine; Baclofen; Child; Coma; GABA Agonists; Humans; Infusion Pumps, Impl

2003
Baclofen pumps: comment on Anderson et al.
    Paediatric anaesthesia, 2003, Volume: 13, Issue:7

    Topics: Baclofen; Child; Coma; Drug Overdose; GABA Agonists; Humans; Infusion Pumps, Implantable; Medication

2003
Salvage of baclofen pump pocket infection with muscle flap.
    Plastic and reconstructive surgery, 2004, Volume: 114, Issue:6

    Topics: Adult; Astrocytoma; Baclofen; Cerebral Ventricle Neoplasms; Drug Resistance; Humans; Infusion Pumps,

2004
Best-practice surgical techniques for intrathecal baclofen therapy.
    Journal of neurosurgery, 2006, Volume: 104, Issue:4 Suppl

    Topics: Baclofen; Catheters, Indwelling; Cerebral Palsy; Child; Dystonia; Equipment Design; GABA Agonists; H

2006
The use of intrathecal baclofen pump implants in children and adolescents: safety and complications in 200 consecutive cases.
    Journal of neurosurgery, 2007, Volume: 107, Issue:1 Suppl

    Topics: Adolescent; Baclofen; Cerebral Palsy; Child; Child, Preschool; Female; Humans; Infusion Pumps, Impla

2007
Outcomes of posterior spinal fusion and instrumentation in patients with continuous intrathecal baclofen infusion pumps.
    Spine, 2008, Feb-15, Volume: 33, Issue:4

    Topics: Adolescent; Adult; Baclofen; Cerebral Palsy; Child; Female; Humans; Infusion Pumps, Implantable; Inj

2008
Migration of pump for intrathecal drug delivery into the peritoneal cavity. Case report.
    Surgical neurology, 2009, Volume: 71, Issue:5

    Topics: Abdominal Muscles; Abdominal Wall; Accidents, Traffic; Baclofen; Foreign-Body Migration; Humans; Inf

2009
Tangled catheter as a rare cause of baclofen pump malfunction.
    Surgical neurology, 2009, Volume: 72, Issue:1

    Topics: Baclofen; Catheters, Indwelling; Female; Humans; Infusion Pumps, Implantable; Middle Aged; Multiple

2009
Baclofen therapy for intractable hiccups in pancreatic carcinoma.
    The American journal of gastroenterology, 1998, Volume: 93, Issue:10

    Topics: Aged; Baclofen; GABA Agonists; Hiccup; Humans; Male; Pancreatic Neoplasms; Postoperative Complicatio

1998
Motor function improvement following intrathecal baclofen pump placement in a patient with locked-in syndrome.
    American journal of physical medicine & rehabilitation, 2002, Volume: 81, Issue:4

    Topics: Adult; Baclofen; Brain Stem Infarctions; Humans; Infusion Pumps, Implantable; Male; Muscle Relaxants

2002
Reversible coma in children after improper baclofen pump insertion.
    Paediatric anaesthesia, 2002, Volume: 12, Issue:5

    Topics: Analgesics, Opioid; Baclofen; Cerebral Palsy; Child; Child, Preschool; Coma; Female; GABA Agonists;

2002
Baclofen in the treatment of post-amputation autonomous stump movements.
    European neurology, 1987, Volume: 26, Issue:3

    Topics: Amputation, Surgical; Baclofen; Humans; Male; Middle Aged; Movement Disorders; Postoperative Complic

1987