Ferraris Kevin Paul, Singhal Ash
Faculty of Medicine, Division of Pediatric Neurosurgery, British Columbia Children's Hospital, and Division of Neurosurgery, The University of British Columbia, Vancouver, BC, Canada.
Adv Tech Stand Neurosurg. 2025;51:99-112. doi: 10.1007/978-3-031-86441-4_8.
Selective dorsal rhizotomy (SDR) has been an important surgical treatment for spasticity for decades. Broadly, there are two surgical technique options-via a multilevel laminotomy/laminectomy or via a single-level laminectomy and conus approach. This latter approach is described in detail in this chapter, with discussion of patient selection and a focus on surgical techniques including the integration of electromyography (EMG).
几十年来,选择性脊神经后根切断术(SDR)一直是治疗痉挛的重要外科手术。广义上讲,有两种手术技术选择——通过多级椎板切开术/椎板切除术或通过单级椎板切除术和圆锥入路。本章将详细描述后一种入路,并讨论患者选择,重点是手术技术,包括肌电图(EMG)的整合。