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选择性后根切断术治疗痉挛：综述

Selective posterior rhizotomy for the treatment of spasticity: a review.

作者信息

Abbott R, Forem S L, Johann M

机构信息

Department of Neurosurgery, New York University Medical Center, NY 10016.

出版信息

Childs Nerv Syst. 1989 Dec;5(6):337-46. doi: 10.1007/BF00271889.

DOI:10.1007/BF00271889
PMID:2692811
Abstract

The use of sensory rhizotomy has long been used for the treatment of spasticity. This review outlines the historical development of this treatment, the current surgical technique, and its physiologic rationale. Patient selection, postoperative treatment, and complications are also discussed.

摘要

感觉神经根切断术长期以来一直用于治疗痉挛。本文综述了该治疗方法的历史发展、当前的手术技术及其生理原理。还讨论了患者选择、术后治疗及并发症。

相似文献

1
Selective posterior rhizotomy for the treatment of spasticity: a review.选择性后根切断术治疗痉挛：综述
Childs Nerv Syst. 1989 Dec;5(6):337-46. doi: 10.1007/BF00271889.
2
Selective posterior rhizotomy in the treatment of spasticity.选择性后根切断术治疗痉挛
S Afr Med J. 1993 Oct;83(10):709-10.
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Spasticity in cerebral palsy and the selective posterior rhizotomy procedure.脑瘫中的痉挛状态与选择性后根切断术
J Child Neurol. 1990 Jul;5(3):179-85. doi: 10.1177/088307389000500303.
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Experience-based decision-tree process for selective dorsal rhizotomy in children with cerebral palsy.基于经验的脑瘫患儿选择性背根切断术决策树流程
Ann Phys Rehabil Med. 2021 May;64(3):101287. doi: 10.1016/j.rehab.2019.06.010. Epub 2019 Jul 12.
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Rhizotomy surgery to relieve spasticity in young children.用于缓解幼儿痉挛的神经根切断术。
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Selective posterior lumbosacral rhizotomy for the management of cerebral palsy spasticity. A 10-year experience.选择性腰骶后根切断术治疗脑瘫痉挛：10年经验
S Afr Med J. 1993 Oct;83(10):745-7.
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Selective posterior rhizotomy: further comments.选择性后根切断术：进一步评论。
J Child Neurol. 1991 Apr;6(2):173-80. doi: 10.1177/088307389100600219.
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Surgical treatment of spasticity by selective posterior rhizotomy: 30 years experience.
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Gait analysis of cerebral palsy children before and after rhizotomy.
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引用本文的文献

1
Role of Dorsal Rhizotomy in the Comprehensive Management of Childhood Spasticity.背根切断术在儿童痉挛综合治疗中的作用
Adv Tech Stand Neurosurg. 2025;51:43-52. doi: 10.1007/978-3-031-86441-4_4.
2
History of Dorsal Rhizotomy for Spasticity.用于治疗痉挛的背根切断术的历史。
Adv Tech Stand Neurosurg. 2025;51:5-13. doi: 10.1007/978-3-031-86441-4_2.
3
Cervicothoracic ventral-dorsal rhizotomy for treatment of brachial hypertonia in cerebral palsy.颈椎胸段腹背根切断术治疗脑瘫上肢痉挛

本文引用的文献

1
A Case in which Acute Spasmodic Pain in the Left Lower Extremity was completely relieved by Sub-dural Division of the Posterior Roots of certain Spinal Nerves, all other treatment having proved useless. Death from Sudden Collapse and Cerebral Hæmorrhage on the Twelfth Day after the Operation, at the commencement of Apparent Convalescence.一例左下肢急性痉挛性疼痛经某些脊神经后根硬脊膜下切断术完全缓解的病例，此前所有其他治疗均无效。术后第十二天，在明显康复开始时，因突然虚脱和脑出血死亡。
Med Chir Trans. 1889;72:329-348.3. doi: 10.1177/095952878907200119.
2
The surgical relief of spasticity in paraplegic patients; peripheral nerve section, posterior rhizotomy and other procedures.截瘫患者痉挛的手术缓解；周围神经切断术、后根切断术及其他手术。
J Neurosurg. 1948 Nov;5(6):556-61. doi: 10.3171/jns.1948.5.6.0556.
3
Childs Nerv Syst. 2024 Sep;40(9):2835-2842. doi: 10.1007/s00381-024-06479-5. Epub 2024 Jul 3.
4
Peripheral nerves directly mediate the transneuronal translocation of silver nanomaterials from the gut to central nervous system.外周神经直接介导了银纳米材料从肠道到中枢神经系统的跨神经元易位。
Sci Adv. 2023 Jul 7;9(27):eadg2252. doi: 10.1126/sciadv.adg2252.
5
Frequency distribution in intraoperative stimulation-evoked EMG responses during selective dorsal rhizotomy in children with cerebral palsy-part 1: clinical setting and neurophysiological procedure.脑瘫患儿选择性背根切断术中术中刺激诱发肌电图反应的频率分布——第1部分：临床背景和神经生理学程序
Childs Nerv Syst. 2020 Sep;36(9):1945-1954. doi: 10.1007/s00381-020-04734-z. Epub 2020 Jun 23.
6
Clinically practical formula for preoperatively estimating the cutting rate of the spinal nerve root in a functional posterior rhizotomy.功能性后根切断术中术前估计脊神经根切断率的临床实用公式。
Childs Nerv Syst. 2019 Apr;35(4):665-672. doi: 10.1007/s00381-018-04027-6. Epub 2019 Jan 4.
7
The Evolution of Selective Dorsal Rhizotomy for the Management of Spasticity.选择性脊神经后跟切断术治疗痉挛的演变。
Neurotherapeutics. 2019 Jan;16(1):3-8. doi: 10.1007/s13311-018-00690-4.
8
Selective dorsal rhizotomy in ambulant children with cerebral palsy.行走型脑瘫儿童的选择性脊神经后根切断术
J Child Orthop. 2018 Oct 1;12(5):413-427. doi: 10.1302/1863-2548.12.180123.
9
Neurosurgical Management of Childhood Spasticity: Functional Posterior Rhizotomy and Intrathecal Baclofen Infusion Therapy.儿童痉挛的神经外科治疗：功能性后根切断术和鞘内注射巴氯芬治疗
Neurol Med Chir (Tokyo). 2015;55(8):624-39. doi: 10.2176/nmc.ra.2014-0445. Epub 2015 Jul 31.
10
Functional posterior rhizotomy: the Tokyo experience.功能性后根切断术：东京的经验
Childs Nerv Syst. 2007 Sep;23(9):1007-14. doi: 10.1007/s00381-007-0381-y. Epub 2007 Jul 26.
Decerebrate Rigidity, and Reflex Coordination of Movements.去大脑强直与运动的反射协调
J Physiol. 1898 Feb 17;22(4):319-32. doi: 10.1113/jphysiol.1898.sp000697.
4
Fasciculi proprii of the spinal cord in man.人类脊髓的固有束
Brain. 1959 Dec;82:610-68. doi: 10.1093/brain/82.4.610.
5
Intraspinal sprouting of dorsal root axons; development of new collaterals and preterminals following partial denervation of the spinal cord in the cat.猫脊髓部分去神经支配后背根轴突的脊髓内发芽；新侧支和终末前支的发育
AMA Arch Neurol Psychiatry. 1958 Jan;79(1):46-61.
6
Neurophysiological mechanisms in abnormal reflex activities in cerebral palsy and spinal spasticity.脑瘫和脊髓痉挛异常反射活动中的神经生理机制
J Neurol Neurosurg Psychiatry. 1980 Apr;43(4):333-42. doi: 10.1136/jnnp.43.4.333.
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Pathogenesis and prophylaxis of postlaminectomy deformity of the spine after multiple level laminectomy: difference between children and adults.
Neurosurgery. 1981 Aug;9(2):145-52. doi: 10.1227/00006123-198108000-00006.
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Selective posterior rhizotomy for the relief of spasticity in cerebral palsy.选择性后根切断术治疗脑瘫痉挛
S Afr Med J. 1982 Jul 24;62(4):119-24.
9
[Surgical treatment of spasticity--role of selective posterior rhyzotomy].[痉挛的外科治疗——选择性后根切断术的作用]
Union Med Can. 1980 Oct;109(10):1424-44.
10
Long-term results of posterior functional rhizotomy.后根功能切断术的长期疗效
Acta Neurochir Suppl (Wien). 1980;30:435-9. doi: 10.1007/978-3-7091-8592-6_57.