Functional assessment of children with cerebral palsy following limited (L4-S1) selective posterior rhizotomy--a preliminary report.

摘要: Objective. Selective Posterior Rhizotomy (SPR) is effective for reducing spasticity in children with cerebral palsy (CP). Nonetheless, extensive sensory deafferentation associated this procedure can lead to prolonged postoperative hypotonia that delays the functional recovery of patient. As lumbar rhizotomy provokes suprasegmental hypotonia, we hypothesized extent roots L4-S I levels would reduce risk hypotonia. Methods and Results. Five patients spastic (4 males females, age range: 4-12 years) underwent limited selective dorsal (LSDR) three (L4-S1) roots. All were able walk independently prior surgery. Functional assessments these performed pre post operatively. Assessments included evaluation, passive range motion, sagittal plane kinematics hip, knee, ankle during walking. Following surgery, reduced spasticity, increased motion improved joint walking was observed. Specifically, peak hip knee extension dorsiflexion while plantarflexion decreased. Conclusions. Strength motor control not adversely affected by any subjects all actually demonstrated improvements. Previous studies have LSDR highly achieving outcome children. The results study function as assessed using gait analysis techniques.