{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T01:33:54Z","timestamp":1780104834704,"version":"3.54.0"},"reference-count":34,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,1,17]],"date-time":"2023-01-17T00:00:00Z","timestamp":1673913600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the effects of intrathecal baclofen pump (ITBP) therapy on hip dysplasia in young patients with cerebral palsy (CP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This was a retrospective cohort series of prospectively collected data. Inclusion criteria were all patients with CP in Gross Motor Function Classification System (GMFCS) levels IV or V who underwent ITBP placement under 8\u2009years old with at least 5\u2009years of follow\u2010up. Thirty\u2010four patients were matched to a control group of 71 patients based on GMFCS level, motor type, medical comorbidities, worst hip migration percentage at ITBP placement, age, and Modified Ashworth scale scores. Patients were followed for at least 5\u2009years or until they had hip reconstructive surgery. The primary outcome was the development of hip displacement as measured by the migration percentage at the latest follow\u2010up or the preoperative migration percentage before hip reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The migration percentage at last follow\u2010up was not statistically different between groups (ITBP: 36.2%, non\u2010ITBP: 44.4%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.14). The rates of future preventative, reconstructive, and recurrent hip surgery were not different between groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interpretation<\/jats:title><jats:p>The use of ITBP as an early treatment of spasticity did not alter the natural history of progressive hip displacement in non\u2010ambulatory patients with CP and hip displacement is likely multifactorial, not solely due to spasticity.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dmcn.15509","type":"journal-article","created":{"date-parts":[[2023,1,17]],"date-time":"2023-01-17T17:34:00Z","timestamp":1673976840000},"page":"1112-1117","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Does intrathecal baclofen therapy decrease the progression of hip displacement in young patients with cerebral palsy?"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6270-4578","authenticated-orcid":false,"given":"Ali","family":"Asma","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Nemours Children's Health  Delaware USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armagan Can","family":"Ulusaloglu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Nemours Children's Health  Delaware USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason J.","family":"Howard","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Nemours Children's Health  Delaware USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth J.","family":"Rogers","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Nemours Children's Health  Delaware USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maura","family":"McManus","sequence":"additional","affiliation":[{"name":"Division of Physical Medicine and Rehabilitation Nemours Children's Health  Delaware USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0033-5623","authenticated-orcid":false,"given":"Freeman","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Nemours Children's Health  Delaware USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8207-2109","authenticated-orcid":false,"given":"M. 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