Morota Nobuhito
Department of Neurosurgery, Kitasato University Hospital, Minami-Ku, Sagamihara, Japan.
Adv Tech Stand Neurosurg. 2025;51:5-13. doi: 10.1007/978-3-031-86441-4_2.
The history of dorsal rhizotomy for the treatment of spasticity was reviewed, from its inception to future perspectives. The evolution of this surgical intervention was staged into five distinct phases: "Dawn and Decline," "Revival," "Establishment," "Development," and "Future." Key contributions during each period were highlighted, with particular focus on the progression of surgical techniques and the evolution of intraoperative neurophysiological procedure. Insights leant from this historical review provide valuable guidance for the future development of dorsal rhizotomy in the management of spasticity.
回顾了用于治疗痉挛的背根切断术的历史,从其起源到未来展望。这种外科干预的发展分为五个不同阶段:“黎明与衰落”“复兴”“确立”“发展”和“未来”。突出了每个时期的关键贡献,特别关注手术技术的进步和术中神经生理程序的演变。从这一历史回顾中获得的见解为背根切断术在痉挛管理中的未来发展提供了宝贵的指导。