Dorsal rhizotomy for children with spastic diplegia of cerebral palsy origin: usefulness of intraoperative monitoring
نویسندگان
چکیده
منابع مشابه
Intraoperative Neurophysiology Monitoring During Selective Dorsal Rhizotomy for Spastic Cerebral Palsy
Selective Dorsal Rhizotomy (SDR) is a neurosurgical procedure currently used as a surgical treatment of children with spasticity in their legs. In SDR, the dorsal roots from L2 to S1 or S2 is partially sectioned. The primary goal of SDR is to reduce spasticity and improve the range of movement with preservation of muscle strength. The dorsal roots involved in spasticity are identified on the ba...
متن کاملIntraoperative Electrophysiological Monitoring During Selective Dorsal Rhizotomy in Children with Spastic Cerebral Palsy
Background: Selective dorsal rhizotomy (SDR) is an established strategy for treating spastic cerebral palsy. The applied techniques and criteria of intraoperative electrophysiological monitoring (EPM) for selected transected rootlets vary between different centers; therefore its validity has been questioned. Objective: The aim of this study is to evaluate the applied techniques of EPM used duri...
متن کاملSelective 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...
متن کاملReduction in upper-extremity tone after lumbar selective dorsal rhizotomy in children with spastic cerebral palsy.
OBJECT Randomized clinical trials have established that lumbar selective dorsal rhizotomy (SDR) reduces lower-extremity tone and improves functional outcome in children with spastic cerebral palsy. Significant data exist to support a secondary effect on upper-extremity function in patients with upper-extremity spasticity. The effects of SDR on upper-extremity tone, however, are not well charact...
متن کاملSelective dorsal rhizotomy: A multidisciplinary approach to treating spastic diplegia
BACKGROUND Spasticity is a motor disorder that interferes with mobility and affects the quality of life. Different approaches have been utilized to address patients with spastic diplegia, among which is selective dorsal rhizotomy (SDR). Although SDR has been shown to be efficacious in treating spastic patients, many neurologists and neurosurgeons are not well aware of the procedure, its indicat...
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ژورنال
عنوان ژورنال: Journal of Neurosurgery: Pediatrics
سال: 2018
ISSN: 1933-0707,1933-0715
DOI: 10.3171/2018.1.peds17577