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- Title
Nonselective Partial Dorsal Rhizotomy: A Clinical Experience with 1-Year Follow-Up.
- Authors
Sacco, David J.; Tylkowski, Chester M.; Warf, Benjamin C.
- Abstract
The ability to perform a ‘selective’ dorsal rhizotomy has been challenged. EMG responses are inconsistent and often do not represent reflex responses. We perform nonselective partial dorsal rhizotomy (NSPDR) when reflex response is not evident. Ten children undergoing primarily NSPDR were evaluated preoperatively and postoperatively with the Modified Ashworth Scale, gait lab analyses gross motor function measure and the NSPDR was performed by nonselectively sectioning 50–75% of the dorsal roots not demonstrating a reflex response. Standard selective rhizotomy was performed in the remainder. Only 17 of 106 (16%) dorsal roots demonstrated reflex responses. The results reported in this study demonstrate a benefit to patients undergoing primarily NSPDR which is similar to that reported for patients in whom a selective procedure was intended.Copyright © 2000 S. Karger AG, Basel
- Subjects
RHIZOTOMY; SPINAL nerve root surgery; SPASTICITY; MOVEMENT disorders; CEREBRAL palsy
- Publication
Pediatric Neurosurgery, 2000, Vol 32, Issue 3, p114
- ISSN
1016-2291
- Publication type
Article
- DOI
10.1159/000028914