Short term outcome effects of selective dorsal rhizotomy in patients with cerebral palsy

2011 ◽  
Vol 33 ◽  
pp. S21-S22
Author(s):  
S. Gualdi ◽  
M. Coluccini ◽  
E. Carraro ◽  
E. Salghetti ◽  
L. Boscolo Bozza ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Selective Dorsal Rhizotomy ◽  
Short Term ◽  
Term Outcome ◽  
Dorsal Rhizotomy ◽  
Short Term Outcome

scholarly journals Short-term Gait Parameters Change in Mild Spastic Cerebral Palsy after Selective Dorsal Rhizotomy Guided by Our Newly-Modified Protocol

2021 ◽  
Author(s):  
wenbin jiang ◽  
Shuyun Jiang ◽  
Yan Yu ◽  
Qijia Zhan ◽  
Min Wei ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Lower Limbs ◽  
Spastic Cerebral Palsy ◽  
Selective Dorsal Rhizotomy ◽  
Short Term ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Dorsal Rhizotomy ◽  
Gait Parameters

Abstract Background Selective Dorsal Rhizotomy (SDR) guided by our modified protocol can decrease spasticity in certain muscles. This study aimed to investigate gait parameters changes in cerebral palsy (CP) with focal spasticity after SDR in short-term follow-up. Methods CP classified as Gross Motor Function Classification System (GMFCS) level Ⅰ and Ⅱ who underwent SDR were included. Changes of spasticity, gait parameters and gait deviation index (GDI) were retrospectively reviewed. Results This study contained 26 individuals with 44 affected and 8 intact lower limbs (4 monoplegia, 4 hemiplegia and 18 diplegia). Mean age was 5.7 ± 1.9 years-old and follow-up duration was 9.9 ± 6.6 months. After SDR, average spasticity of 108 target muscles decreased from 2.9 ± 0.8 to 1.8 ± 0.6 in Modified Ashworth Scale (MAS). Kinematic curves changed after the surgery in sagittal and transverse plane in affected sides, further investigation showed improvements in ankle and knee. No changes were found in temporal-spatial parameters except decrease in cadence in affected sides. GDI improved significantly in affected limbs. Conclusion In short-term follow up, the new-protocol-guiding SDR can lower focal spasticity, GA showed improvements in kinematic parameters and GDI. Longer follow-up duration is needed to clarify the long-term outcome.

scholarly journals Comprehensive short-term outcome assessment of selective dorsal rhizotomy

2008 ◽  
Vol 50 (10) ◽  
pp. 765-771 ◽  
Author(s):  
Joyce P Trost ◽  
Michael H Schwartz ◽  
Linda E Krach ◽  
Mary E Dunn ◽  
Tom F Novacheck
Keyword(s):  
Outcome Assessment ◽  
Selective Dorsal Rhizotomy ◽  
Short Term ◽  
Term Outcome ◽  
Dorsal Rhizotomy ◽  
Short Term Outcome

Long-term outcome after selective dorsal rhizotomy in children with spastic cerebral palsy

2015 ◽  
Vol 31 (3) ◽  
pp. 415-423 ◽  
Author(s):  
Tamir Ailon ◽  
Richard Beauchamp ◽  
Stacey Miller ◽  
Patricia Mortenson ◽  
John M. Kerr ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Spastic Cerebral Palsy ◽  
Selective Dorsal Rhizotomy ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Dorsal Rhizotomy

scholarly journals The short-term effects of selective dorsal rhizotomy on gait compared to matched cerebral palsy control groups

PLoS ONE ◽  
2019 ◽  
Vol 14 (7) ◽  
pp. e0220119 ◽  
Author(s):  
Rory O’Sullivan ◽  
Jane Leonard ◽  
Aoife Quinn ◽  
Damien Kiernan
Keyword(s):  
Cerebral Palsy ◽  
Selective Dorsal Rhizotomy ◽  
Control Groups ◽  
Short Term ◽  
Dorsal Rhizotomy ◽  
Short Term Effects

O 022 – The short-term effects of selective dorsal rhizotomy on gait in cerebral palsy

2018 ◽  
Vol 65 ◽  
pp. 43-44
Author(s):  
R. O’Sullivan ◽  
D. Kiernan ◽  
B. McLoughlin ◽  
J. Leonard
Keyword(s):  
Cerebral Palsy ◽  
Selective Dorsal Rhizotomy ◽  
Short Term ◽  
Dorsal Rhizotomy ◽  
Short Term Effects

scholarly journals Selective dorsal rhizotomy in ambulant children with cerebral palsy

2018 ◽  
Vol 12 (5) ◽  
pp. 413-427 ◽  
Author(s):  
K. K. Wang ◽  
M. E. Munger ◽  
B. P.-J. Chen ◽  
T. F. Novacheck
Keyword(s):  
Cerebral Palsy ◽  
Current Evidence ◽  
Selective Dorsal Rhizotomy ◽  
Short Term ◽  
Dorsal Rhizotomy ◽  
Evidence Summary ◽  
Children With Cerebral Palsy ◽  
Substantial Degree

Background Selective dorsal rhizotomy (SDR) is a surgical procedure for treating spasticity in ambulant children with cerebral palsy (CP). However, controversies remain regarding indications, techniques and outcomes. Current evidence summary Because SDR is an irreversible procedure, careful patient selection, a multi-disciplinary approach in assessment and management and division of the appropriate proportion of dorsal rootlets are felt to be paramount for maximizing safety. Reliable evidence exists that SDR consistently reduces spasticity, in a predictable manner and to a substantial degree. However, functional improvements are small in the short-term with long-term benefits difficult to assess. Future outlook There is a need for high-quality studies utilizing long-term functional outcomes and well-matched control groups. Collaborative, multicentre efforts are required to further define the role of SDR as part of the management paradigm in maximizing physical function in spastic CP.

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