scholarly journals Long-term outcome in selective dorsal rhizotomy in spastic cerebral palsy: differentiation in mobility levels is needed

2015 ◽  
Vol 57 (5) ◽  
pp. 408-409
Author(s):  
R Jeroen Vermeulen ◽  
Jules G Becher
Keyword(s):  
Cerebral Palsy ◽  
Spastic Cerebral Palsy ◽  
Selective Dorsal Rhizotomy ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Dorsal Rhizotomy

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 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.

Does gender influence the long-term outcome of single-event multilevel surgery in spastic cerebral palsy?

2012 ◽  
Vol 21 (5) ◽  
pp. 448-451 ◽  
Author(s):  
Ernst B. Zwick ◽  
Martin Švehlík ◽  
Tanja Kraus ◽  
Gerhard Steinwender ◽  
Wolfgang E. Linhart
Keyword(s):  
Cerebral Palsy ◽  
Spastic Cerebral Palsy ◽  
Single Event ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Gender Influence ◽  
Multilevel Surgery

Routine Indomethacin Prophylaxis: Has the Time Come?

PEDIATRICS ◽  
1996 ◽  
Vol 98 (4) ◽  
pp. 784-785
Author(s):  
Henrietta S. Bada
Keyword(s):  
Cerebral Palsy ◽  
Birth Weight ◽  
Intraventricular Hemorrhage ◽  
Maternal Education ◽  
Severe Form ◽  
Term Outcome ◽  
Intelligence Scale ◽  
Long Term Outcome ◽  
Iq Scores

Periventricular-intraventricular hemorrhage (IVH) remains a significant cause of long-term morbidity among premature infants1. Clinical trials2-4 have shown that prophylactic indomethacin is associated with a decreased incidence of IVH, including the severe form. In this issue of Pediatrics, Ment et al5 report on the long-term outcome of children who received indomethacin prophylaxis for IVH. Incidence of cerebral palsy (8%) was similar between the indomethacin-and placebo-treated groups; mean IQ scores determined from the Stanford-Binet Intelligence Scale (Form L-M, 1972) did not differ. IQ scores were significantly related to IVH, birth weight, and maternal education; ie, lower IQ scores with IVH and higher scores with higher birth weight and years of education.

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