Document Detail

Selective dorsal rhizotomies in the treatment of spasticity related to cerebral palsy.
MedLine Citation:
PMID:  17643249     Owner:  NLM     Status:  MEDLINE    
RATIONALE: Selective dorsal rhizotomy (SDR) is a surgical technique developed over the past decades to manage patients diagnosed with cerebral palsy suffering from spastic diplegia. It involves selectively lesioning sensory rootlets in an effort to maintain a balance between elimination of spasticity and preservation of function. Several recent long-term outcome studies have been published. In addition, shorter follow-up randomized controlled studies have compared the outcome of patients having undergone physiotherapy alone with those that received physiotherapy after selective dorsal rhizotomy. MATERIALS AND METHODS: In this account, we will discuss the rationale and outcome after SDR. The outcome is addressed in terms of the gross motor function measurement scale (GMFM), degree of elimination of spasticity, strength enhancement, range of motion, fine motor skills, activity of daily living, spastic hip, necessity for postoperative orthopedic procedures, bladder and sphincteric function, and finally possible early or late complications associated with the procedure. CONCLUSION: We conclude that SDR is a safe procedure, which offers durable and significant functional gains to properly selected children with spasticity related to cerebral palsy.
Jean-Pierre Farmer; Abdulrahman J Sabbagh
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Publication Detail:
Type:  Journal Article; Review     Date:  2007-07-21
Journal Detail:
Title:  Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery     Volume:  23     ISSN:  0256-7040     ISO Abbreviation:  Childs Nerv Syst     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-08-03     Completed Date:  2008-01-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503227     Medline TA:  Childs Nerv Syst     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  991-1002     Citation Subset:  IM    
The Montreal Children's Hospital, McGill University Health Center, Room C-811, 2300 Tupper Street, Montreal, QC, H3H 1P3, Canada.
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MeSH Terms
Cerebral Palsy / complications,  pathology*,  surgery*
Muscle Spasticity / complications,  pathology*,  surgery*
Rhizotomy / methods*
Spinal Nerve Roots / surgery*

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