{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T15:22:02Z","timestamp":1772119322007,"version":"3.50.1"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T00:00:00Z","timestamp":1742774400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T00:00:00Z","timestamp":1742774400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Childs Nerv Syst"],"published-print":{"date-parts":[[2025,12]]},"DOI":"10.1007\/s00381-025-06797-2","type":"journal-article","created":{"date-parts":[[2025,3,23]],"date-time":"2025-03-23T20:42:28Z","timestamp":1742762548000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A pre-operative gastrointestinal optimization protocol to improve outcomes after intrathecal baclofen pump surgery"],"prefix":"10.1007","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-1764-7134","authenticated-orcid":false,"given":"Amanda M.","family":"Mosher","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9153-0483","authenticated-orcid":false,"given":"Emma K.","family":"Hartman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0431-3045","authenticated-orcid":false,"given":"Marcella","family":"Ruppert-Gomez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7588-7596","authenticated-orcid":false,"given":"Steven J.","family":"Staffa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristin","family":"Buxton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann","family":"Morgan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sangeeta","family":"Muskar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4546-6790","authenticated-orcid":false,"given":"Scellig","family":"Stone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3019-1296","authenticated-orcid":false,"given":"Weston T.","family":"Northam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,3,24]]},"reference":[{"issue":"3","key":"6797_CR1","doi-asserted-by":"publisher","first-page":"424","DOI":"10.1016\/j.jpedsurg.2021.05.021","volume":"57","author":"NJ Skertich","year":"2022","unstructured":"Skertich NJ, Ingram MCE, Sullivan GA, Grunvald M, Ritz E, Shah AN (2022) Postoperative complications in pediatric patients with cerebral palsy. J Pediatr Surg 57(3):424\u2013429","journal-title":"J Pediatr Surg"},{"issue":"6","key":"6797_CR2","doi-asserted-by":"publisher","first-page":"509","DOI":"10.1111\/dmcn.12080","volume":"55","author":"M Oskoui","year":"2013","unstructured":"Oskoui M, Coutinho F, Dykeman J, Jett\u00e9 N, Pringsheim T (2013) An update on the prevalence of cerebral palsy: a systematic review and meta-analysis. Dev Med Child Neurol 55(6):509\u2013519. https:\/\/doi.org\/10.1111\/dmcn.12080","journal-title":"Dev Med Child Neurol"},{"key":"6797_CR3","doi-asserted-by":"crossref","unstructured":"Van Naarden Braun K, Doernberg N, Schieve L, Christensen D, Goodman A, Yeargin-Allsopp M (2016) Birth prevalence of cerebral palsy: a population-based study. Pediatrics 137(1):e20152872","DOI":"10.1542\/peds.2015-2872"},{"issue":"1","key":"6797_CR4","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1111\/dmcn.14307","volume":"62","author":"SJ Hollung","year":"2020","unstructured":"Hollung SJ, Bakken IJ, Vik T, Lydersen S, Wiik R, Aaberg KM (2020) Comorbidities in cerebral palsy: a patient registry study. Dev Med Child Neurol 62(1):97\u2013103","journal-title":"Dev Med Child Neurol"},{"issue":"24","key":"6797_CR5","doi-asserted-by":"publisher","first-page":"2090","DOI":"10.1212\/WNL.0b013e3181aa537b","volume":"72","author":"MI Shevell","year":"2009","unstructured":"Shevell MI, Dagenais L, Hall N (2009) Comorbidities in cerebral palsy and their relationship to neurologic subtype and GMFCS level. Neurology 72(24):2090\u20132096","journal-title":"Neurology"},{"issue":"6","key":"6797_CR6","doi-asserted-by":"publisher","first-page":"810","DOI":"10.1016\/j.ejpn.2016.05.019","volume":"20","author":"P Quitadamo","year":"2016","unstructured":"Quitadamo P, Thapar N, Staiano A, Borrelli O (2016) Gastrointestinal and nutritional problems in neurologically impaired children. Eur J Paediatr Neurol 20(6):810\u2013815","journal-title":"Eur J Paediatr Neurol"},{"key":"6797_CR7","unstructured":"The effect of different dietary structure on gastrointestinal dysfunction in children with cerebral palsy and epilepsy based on gut microbiota - ClinicalKey [Internet. https:\/\/www-clinicalkey-com.ezp-prod1.hul.harvard.edu\/#!\/content\/playContent\/1-s2.0-S038776042030276X?scrollTo=%23b0010. Accessed 21 May 2024"},{"issue":"2","key":"6797_CR8","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1159\/000138959","volume":"60","author":"F Patti","year":"2008","unstructured":"Patti F, Pappalardo A, Lo Fermo S, Cimino V, Castiglione A, Zappia M (2008) Life-threatening constipation induced by intrathecal baclofen therapy. Eur Neurol 60(2):95\u201396. https:\/\/doi.org\/10.1159\/000138959","journal-title":"Eur Neurol"},{"key":"6797_CR9","doi-asserted-by":"crossref","unstructured":"Kofler M, Matzak H, Saltuari L. The impact of intrathecal baclofen on gastrointestinal function. Brain Inj Internet. Published online January 1, 2002.  https:\/\/www.tandfonline.com\/doi\/abs\/10.1080\/02699050210128898","DOI":"10.1080\/02699050210128898"},{"key":"6797_CR10","doi-asserted-by":"crossref","unstructured":"Dhiman N, Chi A, Pawlik TM, Efron DT, Haut ER, Schneider EB (2013) Increased complications after appendectomy in patients with cerebral palsy: are special needs patients at risk for disparities in outcomes? Surgery 154(3):479\u201385","DOI":"10.1016\/j.surg.2013.05.038"},{"issue":"1","key":"6797_CR11","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1080\/13638490500079476","volume":"9","author":"NA Murphy","year":"2006","unstructured":"Murphy NA, Hoff C, Jorgensen T, Norlin C, Young PC (2006) Costs and complications of hospitalizations for children with cerebral palsy. Pediatr Rehabil 9(1):47\u201352","journal-title":"Pediatr Rehabil"},{"issue":"1","key":"6797_CR12","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1097\/MPG.0000000000001210","volume":"64","author":"JR Stephens","year":"2017","unstructured":"Stephens JR, Steiner MJ, DeJong N, Rodean J, Hall M, Richardson T, Berry JG (2017) Healthcare utilization and spending for constipation in children with versus without complex chronic conditions. J Pediatr Gastroenterol Nutr 64(1):31\u201336","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"3","key":"6797_CR13","doi-asserted-by":"publisher","first-page":"292","DOI":"10.1001\/jamasurg.2016.4952","volume":"152","author":"O Ljungqvist","year":"2017","unstructured":"Ljungqvist O, Scott M, Fearon KC (2017) Enhanced recovery after surgery: a review. JAMA Surg 152(3):292\u2013298","journal-title":"JAMA Surg"},{"issue":"5","key":"6797_CR14","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1097\/PEC.0000000000002605","volume":"38","author":"L Adriani","year":"2022","unstructured":"Adriani L, Dall Oglio I, Brusco C, Gawronski O, Piga S, Reale A (2022) Reduction of waiting times and patients leaving without being seen in the tertiary pediatric emergency department: a comparative observational study. Pediatr Emerg Care 38(5):219","journal-title":"Pediatr Emerg Care"},{"issue":"11","key":"6797_CR15","doi-asserted-by":"publisher","first-page":"911","DOI":"10.14740\/jocmr3165w","volume":"9","author":"JL Phillips","year":"2017","unstructured":"Phillips JL, Jackson BE, Fagan EL, Arze SE, Major B, Zenarosa NR (2017) Overcrowding and its association with patient outcomes in a median-low volume emergency department. J Clin Med Res 9(11):911\u2013916","journal-title":"J Clin Med Res"},{"issue":"9","key":"6797_CR16","doi-asserted-by":"publisher","first-page":"1625","DOI":"10.3390\/healthcare10091625","volume":"10","author":"M Sartini","year":"2022","unstructured":"Sartini M, Carbone A, Demartini A, Giribone L, Oliva M, Spagnolo AM (2022) Overcrowding in emergency department: causes, consequences, and solutions\u2014a narrative review. Healthc Basel 10(9):1625","journal-title":"Healthc Basel"},{"key":"6797_CR17","unstructured":"S VV, K R, M W, R B, S B. Constipation and fecal incontinence in children with cerebral palsy. Overview of literature and flowchart for a stepwise approach [Internet]. https:\/\/www.ageb.be\/ageb-journal\/previous-issues\/ageb-volume\/ageb-type\/ageb-article\/. Accessed 21 May 2024"},{"issue":"4","key":"6797_CR18","doi-asserted-by":"publisher","first-page":"633","DOI":"10.3390\/children10040633","volume":"10","author":"E Bokova","year":"2023","unstructured":"Bokova E, Svetanoff WJ, Levitt MA, Rentea RM (2023) Pediatric bowel management options and organizational aspects. Child Basel 10(4):633","journal-title":"Child Basel"},{"key":"6797_CR19","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1016\/j.jpeds.2022.07.016","volume":"251","author":"ME McSweeney","year":"2022","unstructured":"McSweeney ME, Chan Yuen J, Meleedy-Rey P, Day K, Nurko S (2022) A quality improvement initiative to reduce abdominal X-ray use in pediatric patients presenting with constipation. J Pediatr 251:127\u2013133","journal-title":"J Pediatr"},{"issue":"3","key":"6797_CR20","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1097\/MPG.0000000000000402","volume":"59","author":"SB Freedman","year":"2014","unstructured":"Freedman SB, Thull-Freedman J, Rumantir M, Eltorki M, Schuh S (2014) Pediatric constipation in the emergency department: evaluation, treatment, and outcomes. J Pediatr Gastroenterol Nutr 59(3):327\u2013333","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"6797_CR21","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1016\/j.jpeds.2020.06.028","volume":"225","author":"G Moriel","year":"2020","unstructured":"Moriel G, Tran T, Pham PK, Liberman DB (2020) Reducing abdominal radiographs to diagnose constipation in the pediatric emergency department. J Pediatr 225:109\u2013116","journal-title":"J Pediatr"}],"container-title":["Child's Nervous System"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00381-025-06797-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00381-025-06797-2","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00381-025-06797-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T13:17:57Z","timestamp":1770815877000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00381-025-06797-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,24]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["6797"],"URL":"https:\/\/doi.org\/10.1007\/s00381-025-06797-2","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-5368309\/v1","asserted-by":"object"}]},"ISSN":["0256-7040","1433-0350"],"issn-type":[{"value":"0256-7040","type":"print"},{"value":"1433-0350","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,24]]},"assertion":[{"value":"31 October 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 March 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 March 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"139"}}