Selective dorsal rhizotomy: A multidisciplinary approach to treating spastic diplegia

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Selective 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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Selective dorsal rhizotomy for spastic diplegia secondary to stroke in an adult patient

BACKGROUND Selective dorsal rhizotomy (SDR) is often recommended for children with spastic paraparesis and cerebral palsy. SDR reduces spasticity in the lower extremities for these children with spastic paraplegia. However, SDR is infrequently recommended for adults with spasticity. Spastic diplegia in adult patients can be due to stroke, brain or spinal cord injury from trauma, infection, toxi...

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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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Level of activity and participation in adults with spastic diplegia 17-26 years after selective dorsal rhizotomy.

OBJECTIVE To evaluate the activity and participation levels of adults with spastic diplegia 17-26 years after selective dorsal rhizotomy; to investigate relationships between subjects' functioning and age, socio-economic-status, level of satisfaction and their perceptions of the post-operative outcomes. DESIGN Observational follow-up study. PATIENTS Thirty-one subjects with spastic diplegia...

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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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ژورنال

عنوان ژورنال: Asian Journal of Neurosurgery

سال: 2017

ISSN: 1793-5482

DOI: 10.4103/1793-5482.175625