| Intraspinal rhizotomy and distal cordectomy in patients with myelomeningocele. | |
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MedLine Citation:
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PMID: 3941123 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Intraspinal rhizotomy alone or in combination with excision of the scarred conus medullaris distal to the level of the cord anomaly was used in thirteen patients with myelomeningocele at the thoracolumbar level whose care was complicated by recurrent deformity of the lower extremities that was caused by persistent spasticity. When examined at an average follow-up of 5.3 years, all patients were free of spasticity, had manageable lower extremities, and were able to sit in a wheelchair with ease. Twelve patients had no change in the status of the urinary tract, but one patient noted an adverse change in urinary status with increased wetness between intermittent catheterizations. Intraspinal rhizotomy alone or in combination with distal cordectomy should be used only in patients with congenital paraplegia in whom reflex motor activity has caused recurrent deformity of the lower extremities that cannot be controlled by the use of braces or operations on the lower extremities, or both. |
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Authors:
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T P McLaughlin; J V Banta; N H Gahm; J F Raycroft |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of bone and joint surgery. American volume Volume: 68 ISSN: 0021-9355 ISO Abbreviation: J Bone Joint Surg Am Publication Date: 1986 Jan |
Date Detail:
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Created Date: 1986-02-20 Completed Date: 1986-02-20 Revised Date: 2010-10-25 |
Medline Journal Info:
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Nlm Unique ID: 0014030 Medline TA: J Bone Joint Surg Am Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 88-94 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Braces Child Child, Preschool Contracture / prevention & control* Female Follow-Up Studies Humans Male Meningomyelocele / complications, surgery* Muscle Spasticity / etiology, surgery Orthotic Devices Paraplegia / etiology Spinal Cord / surgery* Spinal Nerve Roots / surgery* |
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