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Dorsal Rhizotomy for Spasticity Management in Cerbral Palsy
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Neuropediatrics/Paediatric oncology. Dept of Pediatrics, Uppsala Hospital, Uppsala, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Neurosurgery. Dept of Neuroscience, Neurosurgery, University Hospital, Uppsala, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Neurosurgery. Dept of Neuroscience, Neurosurgery, University Hospital, Uppsala, Sweden.
Dept of Neuroscience, Neurophysiology, University Hospital, Uppsala, Sweden.
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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
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Medical and Health Sciences
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URN: urn:nbn:se:uu:diva-372177DOI: 10.1007/978-3-319-50592-3_46-1OAI: oai:DiVA.org:uu-372177DiVA, id: diva2:1275453
Available from: 2019-01-06 Created: 2019-01-06 Last updated: 2019-09-13Bibliographically approved

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Ahlsten, GunnarNilsson, PelleWesslén, Nils

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