Agrawal Mohit, Samala Raghu, Doddamani Ramesh, Agrawal Deepak, Chandra Sarat P
Department of Neurosurgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
Neurosurg Rev. 2021 Feb;44(1):213-221. doi: 10.1007/s10143-020-01255-w. Epub 2020 Feb 5.
There is a huge burden of patients suffering from trauma-induced disabling spasticity the world over. There are surprisingly few modalities of treatment with a sustained, proven benefit which can be offered to such patients. Selective dorsal rhizotomy (SDR) has been used with proven success in treating spasticity in patients of cerebral palsy, both in children and in adults. The rationale behind using the procedure in post-traumatic cases is reviewed, along with the cases reported till date in the world literature. The indications, surgical procedure used, outcome and complications, if any, are described. Most of the cases described in the literature have shown a favourable outcome with minimal complications. SDR can become an important tool in the armamentarium of the clinician treating this condition.
全球范围内，创伤性致残性痉挛患者负担沉重。令人惊讶的是，能够为这类患者提供持续、已证实有效的治疗方式少之又少。选择性脊神经后根切断术（SDR）已被证实成功用于治疗儿童和成人脑瘫患者的痉挛。本文回顾了在创伤后病例中使用该手术的理论依据，以及迄今为止世界文献中报道的病例。描述了手术适应症、所采用的手术步骤、结果及并发症（如有）。文献中描述的大多数病例都显示出良好的效果，并发症极少。SDR可成为治疗这种疾病的临床医生的重要工具。
