Comprehensive short-term outcome assessment of selective dorsal rhizotomy

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Long-term outcomes five years after selective dorsal rhizotomy

BACKGROUND Selective dorsal rhizotomy (SDR) is a well accepted neurosurgical procedure performed for the relief of spasticity interfering with motor function in children with spastic cerebral palsy (CP). The goal is to improve function, but long-term outcome studies are rare. The aims of this study were to evaluate long-term functional outcomes, safety and side effects during five postoperative...

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Selective dorsal rhizotomy for spastic cerebral palsy.

Spast ic i ty is def ined as a movement disorder characterised by a velocity-dependent increase in tonic stretch reflexes. Children with spastic CP have a neuromuscular mobility impairment stemming from an upper motor neuron lesion in the brain over the areas in the motor cortex or the corticospinal tract, which descends in the spinal cord, in the lateral columns and carries signals for volunta...

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Short- and long-term effects of selective dorsal rhizotomy on gross motor function in ambulatory children with spastic diplegia.

OBJECT The primary aim of this prospective cohort study was to evaluate the short-term (1 year) and long-term (mean 6 years) effects of selective dorsal rhizotomy (SDR) on gross motor function and spasticity in ambulatory children with spastic diplegia. Secondary aims were to investigate side effects, additional treatment during follow-up (botulinum toxin type A injections or orthopedic surgery...

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Long-term outcome and adverse effects of selective dorsal rhizotomy in children with cerebral palsy: a systematic review.

AIM To assess the long-term outcome and adverse events of selective dorsal rhizotomy (SDR) in children with spastic cerebral palsy (CP). METHOD Studies were selected based on the following inclusion criteria: children with CP that underwent SDR with a follow-up period of at least 5 years. The following databases were searched: MEDLINE, Web of Science, Embase, PEDro, and the Cochrane library. ...

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Selective dorsal rhizotomy: meta-analysis of three randomized controlled trials.

This study is a comparative analysis and meta-analysis of three randomized clinical trials. Children with spastic diplegia received either 'selective' dorsal rhizotomy (SDR) plus physiotherapy (SDR+PT) or PT without SDR (PT-only). Common outcome measures were used for spasticity (Ashworth scale) and function (Gross Motor Function Measure [GMFM]). Baseline and 9- to 12-month outcome data were po...

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ژورنال

عنوان ژورنال: Developmental Medicine & Child Neurology

سال: 2008

ISSN: 0012-1622,1469-8749

DOI: 10.1111/j.1469-8749.2008.03031.x