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[Individualized neurosurgical treatments of spastic cerebral palsy]
Jianshe Chen1, Yingbin Wang1, Yibin Liu1
1Department of Neurosurgery, Fourth Affiliated Hospital, Zhengzhou University, Zhengzhou 450044, China.
Objective:
To explore the outcomes of individualized neurosurgical treatments of spastic cerebral palsy.
Methods:
A total of 452 spastic cerebral palsy patients undergoing microneurosurgery during March 2006 and December 2011 were retrospectively analyzed. Performed on the basis of clinical manifestations, comprehensive procedures included selective cutting of neck or lumbosacral dorsal root ganglia (SPR, n = 182) for multiple muscle spasm, selective peripheral neurotomy (SPN, n = 270) for focal muscle spasm, line tendon lengthening or cutting and orthopedic surgery (n = 116) for tendon contracture plus limb deformities and carotid artery adventitia endarterectomy (n = 46) for salivation plus athetoid.
Results:
The average follow-up period was 18 (10-24) months. The limb spasm relief rate of SPR was 95.6% and that of SPN 98.3%. And the postoperative symptom improvement rate of common carotid arterial adventitia stripping was 91.3%. There were 8 cases (4.4%) of recurrent spasticity after SPR and 28 (10.4%) after SPN.
Conclusion:
Offering individualized microsurgical treatments on the basis of clinical manifestations is essential for patients with spastic cerebral palsy.
