Selective posterior rhizotomy for lower extremity spasticity: how much and which of the posterior rootlets should be cut?

Surgical Neurology
Dong-Seok KimEun-Sook Park

Abstract

It is well known that selective posterior rhizotomy is effective for relieving spasticity associated with cerebral palsy. However, there is significant variation between surgeons in terms of how much and which of the posterior rootlets should be cut for the improvement of ambulatory function without causing adverse effects. The study population was composed of 200 CP patients who underwent SPR more than 1 year before this study. The children were divided into 4 groups (Group A had their L1-S2 roots cut, Group B had the L2-S2 roots cut, Group C had the L2-S1 roots cut, and Group D had the L2-S1 roots and the unilateral S2 root cut). We assessed lower limb spasticity, passive range of motion, ambulatory function, and gait pattern in each group. Inclusion of L1 and S2 in the lesioning process of SPR was more effective at relieving spasticity in terms of hip adduction and ankle dorsiflexion respectively and improving ambulatory function (p < 0.01). Although lesioning of S2 carried a greater risk of urinary dysfunction, resection of less than 50% of S2 significantly improved ambulatory function without urinary complications (p < 0.01). Unilateral lesioning of S2 was an alternative option in selected cases with different amounts of s...Continue Reading

References

Jan 1, 1978·Child's Brain·V A FasanoA Sguazzi
Mar 12, 1992·The New England Journal of Medicine·T S Park, J H Owen
Apr 1, 1991·Surgical Neurology·A R Cohen, H C Webster
Jan 1, 1987·Pediatric Neuroscience·W J PeacockB Berman
Jul 1, 1995·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·T NishidaG R Marty
Sep 1, 1993·Journal of Neurosurgery·I P Weiss, S J Schiff

❮ Previous
Next ❯

Citations

Jul 12, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Nelleke G LangerakChristopher L Vaughan
Jun 27, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Joong-Uhn Choi
Dec 20, 2005·Developmental Medicine and Child Neurology·Vanessa A B ScholtesGustaaf J Lankhorst
Jul 24, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Eun-Kyung ParkDong-Seok Kim
Jun 25, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Simone WolterHannes Haberl

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.

Related Papers

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
S H KimK C Lee
Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Dong-Seok KimJin-Myung Jung
Archives of Physical Medicine and Rehabilitation
Edward A HurvitzSusan H Brown
© 2022 Meta ULC. All rights reserved