[Selective limited posterior rhizotomy at 3 dorsal levels. A variant for the neurosurgical treatment of spasticity].
作者信息
Lazareff J A, Mata-Acosta A M, García-Méndez M A, Escanero-Salazar A
机构信息
Departamento de Cirugía Experimental, Hospital Infantil de México Federico Gómez, D.F.
出版信息
Bol Med Hosp Infant Mex. 1990 Feb;47(2):72-7.
INTRODUCTION
Selective posterior rhizotomy (SPR) is effective for reducing spasticity associated to infantile cerebral palsy (ICP). To avoid excessive muscular hypotone a different surgical technique is proposed.
PATIENTS AND METHODS
Sixteen children with spasticity secondary to ICP were evaluated before and after rhizotomy. The degree of spasticity was compared in the lower an in the upper limbs. Dorsal roots of levels L4, L5, and S1 were analyzed and sectioned according to the results yielded by intraoperative electrical stimulation.
RESULTS
Spasticity was reduced in all the muscular groups analyzed. One of the patients had bladder incontinence.
CONCLUSIONS
The limited surgical procedure is sufficient for reducing spasticity.
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