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Selective posterior rhizotomy in children with cerebral palsy: a 10-year experience

Authors
 Dong-Seok Kim  ;  Joong-Uhn Choi  ;  Kook-Hee Yang  ;  Chang-Il Park 
Citation
 CHILDS NERVOUS SYSTEM, Vol.17(9) : 556-562, 2001 
Journal Title
CHILDS NERVOUS SYSTEM
ISSN
 0256-7040 
Issue Date
2001
MeSH
Activities of Daily Living/classification ; Adolescent ; Adult ; Cerebral Palsy/diagnosis ; Cerebral Palsy/physiopathology ; Cerebral Palsy/surgery* ; Child ; Child, Preschool ; Female ; Follow-Up Studies ; Humans ; Male ; Muscle Spasticity/physiopathology ; Range of Motion, Articular/physiology ; Retrospective Studies ; Rhizotomy* ; Treatment Outcome
Keywords
Ambulatory function ; Cerebral palsy ; Complication ; Spasticity ; Selective posterior rhizotomy
Abstract
We reviewed our 10-year experience of selective posterior rhizotomy (SPR), with an emphasis on surgical outcome concentrated on improvements in functional ability and adverse effects. We had performed SPR in 208 patients between 1990 and 1999. All patients showed an overall improvement (over 95%) in spasticity, passive range of motion, and gait pattern. Preoperative ambulatory functional level and age were very important predictive factors for further improvements in postoperative functional ability. Compared with the younger children, the older ones lacked a full range of motion preoperatively, and they continued to lack a full range of motion postoperatively, despite the decrease in tone achieved by SPR. Most postoperative complications such as hypotonia, urinary retention, spinal deformities, and sensory changes were temporary and not functionally important. We conclude that SPR is an effective method of alleviating spasticity and provides lasting functional benefits at acceptable complication levels in spastic children with cerebral palsy.
Full Text
http://link.springer.com/article/10.1007/s003810100465
DOI
10.1007/s003810100465
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dong Seok(김동석)
Park, Chang Il(박창일)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/142130
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