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Infra-Conus Single-Level Laminectomy for Selective Dorsal Rhizotomy: Technical Advance.
- Source :
-
Pediatric Neurosurgery . Oct2016, Vol. 51 Issue 6, p284-291. 8p. 2 Color Photographs, 1 Black and White Photograph, 1 Diagram, 1 Graph. - Publication Year :
- 2016
-
Abstract
- Background/Aims: Selective dorsal rhizotomy for spastic cerebral palsy is an effective and well-validated surgical approach. Multiple techniques have been described in the past including multiple laminectomies and a single-level laminectomy at the level of the conus. There is considerable technical challenge involved with a single-level laminectomy approach. Methods: We report here a modification of the single- level laminectomy that selectively analyzes each individual nerve root with electromyography to separate dorsal and ventral nerve roots through comparison of stimulus responses. Results: In 18 children with cerebral palsy who underwent this operation there was a mean improvement in the Modified Ashworth Scale of 2.0 with no reported incidence of muscle weakness, sensory loss, or neurogenic bladder. Conclusion: This approach allows for a modification of selective dorsal rhizotomy through a single-level laminectomy and tailors the selection of nerve root sectioning to the individual patient of interest while still maintaining its effectiveness. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 10162291
- Volume :
- 51
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Pediatric Neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 118811850
- Full Text :
- https://doi.org/10.1159/000448046