Selective dorsal rhizotomy: Outcome and complications in treating spastic cerebral palsy

Rick Abbott, Marjorie Johann-Murphy, Tania Shiminski-Maher, David Quartermain, Sandra L. Forem, Joan T. Gold, Fred J. Epstein

Research output: Contribution to journalArticle

64 Scopus citations

Abstract

SELECTIVE DORSAL RHIZOTOMY has shown great promise as a treatment for the functional disabilities and deforming hypertonia of spastic cerebral palsy. At New York University Medical Center, 200 children underwent this procedure between 1986 and 1990. All groups, whether walkers, crawlers, or nonlocomotors, showed improvement in the tone and range of most muscles tested. Half of these patients experienced complications. Thirty-five of these were serious and included bronchospasm (5.5%), aspiration pneumonia (3.5%), urinary retention (7%), and sensory loss (2%). There are, however, clear indications that warn of these complications; monitoring and prophylactic treatment can minimize their effects, and the possibility of such problems is more than offset by the proven benefits of this operative procedure.

Original languageEnglish (US)
Pages (from-to)851-857
Number of pages7
JournalNeurosurgery
Volume33
Issue number5
DOIs
StatePublished - Nov 1993
Externally publishedYes

Keywords

  • Cerebral palsy
  • Complications
  • Outcome
  • Rhizotomy
  • Spasticity

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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    Abbott, R., Johann-Murphy, M., Shiminski-Maher, T., Quartermain, D., Forem, S. L., Gold, J. T., & Epstein, F. J. (1993). Selective dorsal rhizotomy: Outcome and complications in treating spastic cerebral palsy. Neurosurgery, 33(5), 851-857. https://doi.org/10.1227/00006123-199311000-00010