Dorsal Rhizotomy for Spasticity Management in Cerbral PalsyShow others and affiliations
2018 (English)In: Cerebral Palsy / [ed] F. Miller et al, Springer International Publishing AG , 2018, p. 1-10Chapter in book (Refereed)
Abstract [en]
Selective dorsal rhizotomy (SDR) is a neurosurgical procedure for the relief of spasticity interfering with motor function in children with spastic cerebral palsy (CP). The goal of the treatment is to improve function as well as reduce pain and discomfort related to severely increased spasticity. SDR is an ablative procedure that results in lifelong effects on function in the central nervous system. One must also be aware that performing SDR does not guarantee that other treatments for spasticity or orthopedic corrective procedures can be avoided. For SDR to be an effective treatment, it must be combined with specific physiotherapy over a long period of time. Today there exists a good body of evidence that SDR is an effective means of treating patients with the CP subtype spastic diplegia, as long as selection criteria are rigorously adhered to. The procedure is also safe with little risk of short or long-term complications. Further studies on long-term effects late in adulthood will show if the treatment effects are stable over time.
Place, publisher, year, edition, pages
Springer International Publishing AG , 2018. p. 1-10
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-372177DOI: 10.1007/978-3-319-50592-3_46-1OAI: oai:DiVA.org:uu-372177DiVA, id: diva2:1275453
2019-01-062019-01-062019-09-13Bibliographically approved