Challenges in Managing Severe Lower Limb Spasticity Associated with Bilateral Hip Joints Subluxation

Management of severe spasticity in spinal cord injured patients is challenging especially when associated with bilateral hip joint subluxation. A 22-year-old paraplegic girl presented with very severe lower limbs spasticity and unstable hips. She was treated with botulinum toxin a injections to her lower limb muscles. This method of treatment was shown to be effective in a case of severe spasticity with unstable hips.