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Related Experiment Videos

Selective posterior rhizotomy: experience of 30 cases

E Schijman1, M G Erro, N V Meana

  • 1Division of Neurosurgery, Hospital de Niños Ricardo Gutierrez, Buenos Aires, Argentina.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|December 1, 1993
PubMed
Summary

Selective posterior rhizotomy effectively reduces spasticity in children with cerebral palsy. This safe surgical procedure significantly improves motor function and quality of life for affected patients.

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Area of Science:

  • Neurosurgery
  • Pediatric Neurology
  • Rehabilitation Medicine

Background:

  • Spasticity in children with cerebral palsy and neurological disorders poses significant challenges.
  • Selective Posterior Rhizotomy (SPR) has gained interest due to improved surgical precision.
  • Intraoperative electromyographic monitoring enhances the selectivity of SPR.

Purpose of the Study:

  • To evaluate the efficacy and safety of selective posterior rhizotomy in reducing spasticity.
  • To assess functional improvements and quality of life changes in pediatric patients post-rhizotomy.

Main Methods:

  • A cohort of 30 patients underwent SPR between April 1989 and October 1991.
  • Patients had spasticity of cerebral origin (27 cases) or spinal cord lesion (3 cases).

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  • Intraoperative electromyographic monitoring was utilized for procedural selectivity.

    • Main Results:

    • All patients experienced a reduction in abnormal muscle tone, primarily in lower extremities and secondarily in upper extremities.
    • Significant functional improvements were observed, correlating with preoperative conditions.
    • Severely disabled patients, including those with quadriplegia, showed improved quality of life, easier management, better swallowing, and reduced drooling.

    Conclusions:

    • Selective posterior rhizotomy is a safe and effective procedure for managing spasticity in pediatric neurological disorders.
    • The surgery leads to substantial functional gains and enhanced quality of life.
    • Long-term follow-up (1-30 months) supports the positive outcomes of SPR.