Fogel J P, Waters R L, Mahomar F
Clin Orthop Relat Res. 1985 Jan-Feb(192):137-41.
Seven male patients, five complete quadriplegic and two complete high thoracic paraplegic, were treated by dorsal longitudinal myelotomy to relieve intractable spasticity of the lower extremities. All had intact neurogenic bladders before surgery. All patients had initial relief of spasticity but had recurrence of spasticity in varying degrees at two to three months postoperation. One patient had repeat myelotomy with similar results. One patient had successful relief of spasticity but lost neurogenic bladder function. Three patients required surgical releases of spastic contractures after surgery. Only one patient was satisfied with the procedure but required additional procedures for relief of spasticity. None of the procedures was considered successful. Dorsal longitudinal myelotomy is not successful in the treatment of spasticity in the spinal-injured patient.
七名男性患者接受了脊髓背侧纵切术，其中五名是完全性四肢瘫痪，两名是完全性高位胸段截瘫，目的是缓解下肢顽固性痉挛。所有患者术前神经源性膀胱功能均正常。所有患者术后痉挛均有初始缓解，但术后两到三个月不同程度地出现痉挛复发。一名患者再次接受脊髓纵切术，结果相似。一名患者痉挛成功缓解，但失去了神经源性膀胱功能。三名患者术后需要手术松解痉挛性挛缩。只有一名患者对该手术满意，但仍需要额外手术来缓解痉挛。没有一种手术被认为是成功的。脊髓背侧纵切术在治疗脊髓损伤患者的痉挛方面并不成功。
