TY - JOUR
T1 - Selective dorsal rhizotomy
T2 - Outcome and complications in treating spastic cerebral palsy
AU - Abbott, Rick
AU - Johann-Murphy, Marjorie
AU - Shiminski-Maher, Tania
AU - Quartermain, David
AU - Forem, Sandra L.
AU - Gold, Joan T.
AU - Epstein, Fred J.
PY - 1993/11
Y1 - 1993/11
N2 - 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.
AB - 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.
KW - Cerebral palsy
KW - Complications
KW - Outcome
KW - Rhizotomy
KW - Spasticity
UR - http://www.scopus.com/inward/record.url?scp=0027428473&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0027428473&partnerID=8YFLogxK
U2 - 10.1227/00006123-199311000-00010
DO - 10.1227/00006123-199311000-00010
M3 - Article
C2 - 8264882
AN - SCOPUS:0027428473
SN - 0148-396X
VL - 33
SP - 851
EP - 857
JO - Neurosurgery
JF - Neurosurgery
IS - 5
ER -