caa a22 4500 463179358 CHVBK 20180406164834.0 cr unu---uuuuu 170326e20070901xx s 000 0 eng 10.1007/s00381-007-0398-2 doi (NATIONALLICENCE)springer-10.1007/s00381-007-0398-2 Selective dorsal rhizotomies in the treatment of spasticity related to cerebral palsy [Elektronische Daten] [Jean-Pierre Farmer, Abdulrahman Sabbagh] Rationale: Selective dorsal rhizotomy (SDR) is a surgical technique developed over the past decades to manage patients diagnosed with cerebral palsy suffering from spastic diplegia. It involves selectively lesioning sensory rootlets in an effort to maintain a balance between elimination of spasticity and preservation of function. Several recent long-term outcome studies have been published. In addition, shorter follow-up randomized controlled studies have compared the outcome of patients having undergone physiotherapy alone with those that received physiotherapy after selective dorsal rhizotomy. Materials and methods: In this account, we will discuss the rationale and outcome after SDR. The outcome is addressed in terms of the gross motor function measurement scale (GMFM), degree of elimination of spasticity, strength enhancement, range of motion, fine motor skills, activity of daily living, spastic hip, necessity for postoperative orthopedic procedures, bladder and sphincteric function, and finally possible early or late complications associated with the procedure. Conclusion: We conclude that SDR is a safe procedure, which offers durable and significant functional gains to properly selected children with spasticity related to cerebral palsy. Springer-Verlag, 2007 Selective dorsal rhizotomy nationallicence Cerebral palsy nationallicence Spasticity nationallicence Outcome nationallicence Spastic hip nationallicence Activities daily living (ADL) nationallicence GMFM nationallicence Complications nationallicence Farmer Jean-Pierre The Montreal Children's Hospital, McGill University Health Center, Room C-811, 2300 Tupper Street, H3H 1P3, Montreal, QC, Canada aut Sabbagh Abdulrahman The Montreal Children's Hospital, McGill University Health Center, Room C-811, 2300 Tupper Street, H3H 1P3, Montreal, QC, Canada aut Child's Nervous System Springer-Verlag 23/9(2007-09-01), 991-1002 0256-7040 23:9<991 2007 23 381 https://doi.org/10.1007/s00381-007-0398-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-007-0398-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Farmer Jean-Pierre The Montreal Children's Hospital, McGill University Health Center, Room C-811, 2300 Tupper Street, H3H 1P3, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Sabbagh Abdulrahman The Montreal Children's Hospital, McGill University Health Center, Room C-811, 2300 Tupper Street, H3H 1P3, Montreal, QC, Canada aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/9(2007-09-01), 991-1002 0256-7040 23:9<991 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer