scholarly journals Outcomes after selective dorsal rhizotomy

2014 ◽  
Vol 57 (3) ◽  
pp. 214-215 ◽  
Author(s):  
Paul Steinbok
Keyword(s):  
Selective Dorsal Rhizotomy ◽  
Dorsal Rhizotomy

scholarly journals The effect of GMFCS level, age, sex, and dystonia on multi-dimensional outcomes after selective dorsal rhizotomy: prospective observational study

2021 ◽  
Vol 37 (5) ◽  
pp. 1729-1740
Author(s):  
Conor Scott Gillespie ◽  
◽  
Alan Matthew George ◽  
Benjamin Hall ◽  
Steven Toh ◽  
...  
Keyword(s):  
Motor Function ◽  
Self Care ◽  
Pediatric Neurosurgery ◽  
Care Quality ◽  
Fine Motor ◽  
Selective Dorsal Rhizotomy ◽  
Dorsal Rhizotomy ◽  
Significant Difference ◽  
Age Category ◽  
Gmfcs Level

Abstract Purpose Investigate the effect of age category (1–9 years vs 10–18 years), sex, Gross Motor Function Classification System (GMFCS) level, and presence of dystonia on changes in eight function test parameters 24 months after selective dorsal rhizotomy (SDR). Methods Prospective, single-center study of all children aged 3–18 years with bilateral cerebral palsy with spasticity who underwent SDR at a tertiary pediatric neurosurgery center between 2012 and 2019. A linear mixed effects model was used to assess longitudinal changes. Results From 2012 to 2019, 42 children had follow-up available at 24 months. Mean GMFM-66 scores increased after SDR (mean difference 5.1 units: 95% CI 3.05–7.13, p < 0.001). Statistically significant improvements were observed in CPQoL, PEDI Self-care and Mobility, 6MWT, Gillette, and MAS scores. There was no significant difference in the improvements seen for age category, sex, GMFCS level, and presence of dystonia for most of the parameters tested (5/8, 6/8, 5/8, and 6/8 respectively). Conclusion SDR may improve gross and fine motor function, mobility and self-care, quality of life, and overall outcome based on extensive scoring parameter testing at 24 months. Atypical patient populations may benefit from SDR if appropriately selected. Multi-center, prospective registries investigating the effect of SDR are required.

“Life‐changing surgery”: English‐language news media representation of selective dorsal rhizotomy

2021 ◽  
Author(s):  
Simon Paul Paget ◽  
Lani Campbell ◽  
Anneliese Blaxland ◽  
Jennifer Lewis ◽  
Angela Mary Morrow ◽  
...  
Keyword(s):  
News Media ◽  
English Language ◽  
Media Representation ◽  
Selective Dorsal Rhizotomy ◽  
Dorsal Rhizotomy

scholarly journals Changes in Gait After Selective Dorsal Rhizotomy

1992 ◽  
Vol 16 (4) ◽  
pp. 25
Author(s):  
S A Huntoon ◽  
C A Giuliani
Keyword(s):  
Selective Dorsal Rhizotomy ◽  
Dorsal Rhizotomy

scholarly journals Effect of selective dorsal rhizotomy in the treatment of children with cerebral palsy

2006 ◽  
Vol 105 (1) ◽  
pp. 8-15 ◽  
Author(s):  
Jack R. Engsberg ◽  
Sandy A. Ross ◽  
David R. Collins ◽  
Tae Sung Park
Keyword(s):  
Cerebral Palsy ◽  
Selective Dorsal Rhizotomy ◽  
Dorsal Rhizotomy ◽  
Children With Cerebral Palsy

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 No Increased Risk for Scoliosis After Early Selective Dorsal Rhizotomy - A Longitudinal Population-Based Controlled Registry Study from four to 25 years of Age

2020 ◽  
Author(s):  
Annika Lundkvist Josenby ◽  
Lena Westbom
Keyword(s):  
Spinal Pain ◽  
Control Group ◽  
Spastic Diplegia ◽  
Selective Dorsal Rhizotomy ◽  
Gross Motor ◽  
Dorsal Rhizotomy ◽  
Severe Spasticity ◽  
Increased Risk ◽  
Group Frequency ◽  
Gmfcs Level

Abstract Spasticity interfering with gross motor development in cerebral palsy (CP) can be reduced with selective dorsal rhizotomy (SDR). Although reported, it is unknown if SDR surgery increases the risk for later spine problems. Using CP-registry data from a geographically defined population with the same health care and habilitation services, the objectives were to compare reported scoliosis and spinal pain up to adult age in all SDR-operated with all non-SDR-operated individuals with same medical history, functional abilities, and level of spasticity at four years of age. Method In the total population with CP spastic diplegia in Skåne and Blekinge, born 1990-2006, 149 individuals had moderate to severe spasticity and no medical contraindications against SDR at four years of age and were included; 36 persons had undergone SDR at a median age of 4.0 years (range 2.5 – 6.6 years), and 113 individuals constituting the control group, had not. Data on scoliosis and spinal pain at 10, 15, 20 and 25 years of age were analyzed using Kaplan-Meier survival curves and Fisher’s exact test. Gross motor function classification (GMFCS) levels at four years of age (or pre-operatively) were used for stratification.Result Presence of scoliosis at 15, 20, and 25 years of age was the same in the SDR group as in the control group (p=0.734, 0.735 and 1.0). In severe functional disability (GMFCS IV), the SDR group had later onset and lower occurrence of scoliosis (p=0.004) than the control group. Frequency of reported spinal pain did not differ between the groups. Conclusion Neither scoliosis, nor spinal pain was more frequent after SDR than expected by natural history. On the contrary, in severe CP (GMFCS level IV), scoliosis was less frequently reported and had a later onset in the SDR group than in the same GMFCS-level control group.

Effect of selective dorsal rhizotomy on daily care and comfort in non-walking children and adolescents with severe spasticity

2017 ◽  
Vol 21 (2) ◽  
pp. 350-357 ◽  
Author(s):  
A.I. Buizer ◽  
P.E.M. van Schie ◽  
E.A.M. Bolster ◽  
W.J. van Ouwerkerk ◽  
R.L. Strijers ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Selective Dorsal Rhizotomy ◽  
Dorsal Rhizotomy ◽  
Daily Care ◽  
Severe Spasticity

Hand somatosensory cortex activity following selective dorsal rhizotomy: report of three cases with fMRI

2004 ◽  
Vol 21 (2) ◽  
pp. 115-121 ◽  
Author(s):  
Jeffrey G. Ojemann ◽  
Robert C. McKinstry ◽  
Pratik Mukherjee ◽  
T. S. Park ◽  
Harold Burton
Keyword(s):  
Somatosensory Cortex ◽  
Selective Dorsal Rhizotomy ◽  
Dorsal Rhizotomy
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