Document Detail

Intraspinal rhizotomy and distal cordectomy in patients with myelomeningocele.
MedLine Citation:
PMID:  3941123     Owner:  NLM     Status:  MEDLINE    
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.
T P McLaughlin; J V Banta; N H Gahm; J F Raycroft
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Publication Detail:
Type:  Journal Article    
Journal Detail:
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:
Created Date:  1986-02-20     Completed Date:  1986-02-20     Revised Date:  2010-10-25    
Medline Journal Info:
Nlm Unique ID:  0014030     Medline TA:  J Bone Joint Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  88-94     Citation Subset:  AIM; IM    
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MeSH Terms
Child, Preschool
Contracture / prevention & control*
Follow-Up Studies
Meningomyelocele / complications,  surgery*
Muscle Spasticity / etiology,  surgery
Orthotic Devices
Paraplegia / etiology
Spinal Cord / surgery*
Spinal Nerve Roots / surgery*

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