caa a22 4500 477108083 CHVBK 20180405111601.0 cr unu---uuuuu 170330e19960801xx s 000 0 eng 10.1007/BF01411279 doi (NATIONALLICENCE)springer-10.1007/BF01411279 Selective neurotomies for relief of spasticity focalized to the foot and to the knee flexors [Elektronische Daten] Results in a series of 58 patients [B. Abdennebi, B. Bougatene] Summary: Fifty-eight patients with a mean age of 24 years (range 5 to 65 years) who underwent selective neurotomies (SN) for harmful spasticity focalized to the lower limb are presented. In 43 of the patients who suffered spastic foot, SN was directed to the tibial nerve. In 10 others who had spastic knee flexors, the target was the harmstring branches of the sciatic trunk. In the remaining 5 patients, SN concerned both nerves. The aim of the section was to reduce partially the number of the fascicles conveying the excessive spasticity. A stimulation of the nerve above and below the section is performed to check the effectiveness of surgery on the corresponding muscle(s). At long-term follow-up evaluation (mean duration: 4.2 years), this study shows that 40 patients (i.e., 68.9% of the cases) experienced a better quality of life, related to the disappearance or a notable regression of the spasticity in 72.4% of the cases and to improved motor capacities in 65.5% of the cases. Postoperative complications were few, consisting of talus foot in 2 cases and dysaesthesias of the foot on the plantar aspect in 3 cases. This study shows that SN is able to take its place in the surgical armamentarium for treating disabling localized spasticity when it cannot be successfully controlled by rehabilitation and medical therapy. An appropriate candidate selection and intensive postoperative rehabilitation are mandatory to obtain good and long lasting results. Springer-Verlag, 1996 Spasticity nationallicence cerebral palsy nationallicence peripheral neurotomies nationallicence tibial nerve nationallicence sciatic nerve nationallicence functional neurosurgery nationallicence Abdennebi B. Department of Neurosurgery, Salim Zémirli Hospital, El Harrach, Algiers, Algeria aut Bougatene B. Department of Neurosurgery, Salim Zémirli Hospital, El Harrach, Algiers, Algeria aut Acta Neurochirurgica Springer-Verlag 138/8(1996-08-01), 917-920 0001-6268 138:8<917 1996 138 701 https://doi.org/10.1007/BF01411279 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01411279 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Abdennebi B. Department of Neurosurgery, Salim Zémirli Hospital, El Harrach, Algiers, Algeria aut NATIONALLICENCE 700 1- Bougatene B. Department of Neurosurgery, Salim Zémirli Hospital, El Harrach, Algiers, Algeria aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer-Verlag 138/8(1996-08-01), 917-920 0001-6268 138:8<917 1996 138 701 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer