Perioperative Botulinum Toxin Injections to Enhance Surgical Outcomes in Patients With Spasticity: Preoperative, Intraoperative, and Postoperative Case Reports.

Autor:	Frost G; Division of Physical Medicine and Rehabilitation, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia., Finlayson H; Division of Physical Medicine and Rehabilitation, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia.; GF Strong Rehabilitation Centre, Vancouver, British Columbia.; Canadian Advances for Neuro-orthopedics for Spasticity Congress (CANOSC), Kingston, Ontario, Canada., Saeidiborojeni S; Canadian Advances for Neuro-orthopedics for Spasticity Congress (CANOSC), Kingston, Ontario, Canada., Lagnau P; GF Strong Rehabilitation Centre, Vancouver, British Columbia.; Canadian Advances for Neuro-orthopedics for Spasticity Congress (CANOSC), Kingston, Ontario, Canada., Reebye R; Division of Physical Medicine and Rehabilitation, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia.; GF Strong Rehabilitation Centre, Vancouver, British Columbia.; Canadian Advances for Neuro-orthopedics for Spasticity Congress (CANOSC), Kingston, Ontario, Canada.
Jazyk:	angličtina
Zdroj:	Archives of rehabilitation research and clinical translation [Arch Rehabil Res Clin Transl] 2021 Jan 12; Vol. 3 (1), pp. 100101. Date of Electronic Publication: 2021 Jan 12 (Print Publication: 2021).
DOI:	10.1016/j.arrct.2021.100101
Abstrakt:	Spasticity causes an array of disabilities, which in turn may lead to the need for surgical intervention. Spasticity itself may also negatively affect surgical outcomes. This report reviews the potential benefit of perioperative (before, during, or after surgery) botulinum toxin (BoNT) injections for 3 patients with spasticity due to spinal cord injury, stroke, or multiple sclerosis. We discuss perioperative BoNT in 3 time periods: preoperatively, intraoperatively, and postoperatively. The cases demonstrate the use of perioperative BoNT in decreasing pain, improving wound healing, and improving surgical outcomes. We conclude by discussing the potential use of perioperative BoNT for surgical interventions in patients with spasticity and the need for further high-quality research in this field. (© 2021 The Authors.)
Databáze:	MEDLINE
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