Combined Anterior and Posterior Lumbar Rhizotomy for Treatment of Mixed Dystonia and Spasticity in Children With Cerebral Palsy

    loading  Checking for direct PDF access through Ovid

Abstract

BACKGROUND:

Children with cerebral palsy (CP) can present with severe secondary dystonia with or without associated spasticity of their extremities.

OBJECTIVE:

To assess the outcomes of combined anterior and posterior lumbar rhizotomy for the treatment of mixed hypertonia in the lower extremities of children with CP.

METHODS:

Fifty children with CP were subjected to combined anterior and posterior lumbar rhizotomies in a prospective study. Clinical outcome measurements were recorded preoperatively and were evaluated at 2, 6, and 12 months postoperatively. The operative techniques were performed by laminotomy from L1-S1, and intraoperative monitoring was used in all cases. All patients underwent intensive postoperative physiotherapy programs.

RESULTS:

Changes in muscle tone, joint range of motion, and dystonia were significant (P = .000) at postoperative assessment visits.

CONCLUSION:

This study demonstrated the potential of combined anterior and posterior lumbar rhizotomies to improve activities of daily living in children with CP and with mixed spasticity and dystonia.

ABBREVIATIONS:

BAD, Barry-Albright Dystonia Scale

ABBREVIATIONS:

CAPR, combined anterior and posterior lumbar rhizotomy

ABBREVIATIONS:

CP, cerebral palsy

ABBREVIATIONS:

ITB, intrathecal baclofen

ABBREVIATIONS:

MAS, modified Ashworth Scale

ABBREVIATIONS:

ROM, range of motion

ABBREVIATIONS:

SDR, selective dorsal rhizotomy

Related Topics

    loading  Loading Related Articles