Long-term outcomes of SDR in various groups of cerebral palsy (CP) patients

Dekopov, A V; Tomsky, Aleksey A; Gaevyi, I O; Salova, E M; Козлова, А Б; Ogurtsova, A A; Shabalov, V. A.

doi:10.17116/neiro201579629-37

Cited by 4 publications

(2 citation statements)

References 18 publications

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“…Age of cases at SDR was found to be highly correlated with the changes of GDI in our retrospective statistical analysis, which was similar to the ndings in previous studies 10,26 . Such results might be attributed to the adaptability of gait training, of which younger cases usually have better plasticity for motor control 27,28 . In the meantime, we found that the improvements of GDI are more likely to appear after 6-month post-op rehabilitation program.…”

Section: Discussionmentioning

confidence: 99%

Short-term Gait Parameters Change in Mild Spastic Cerebral Palsy after Selective Dorsal Rhizotomy Guided by Our Newly-Modified Protocol

Jiang¹,

Jiang²,

Yu³

et al. 2021

Preprint

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Background Selective Dorsal Rhizotomy (SDR) guided by our modified protocol can decrease spasticity in certain muscles. This study aimed to investigate gait parameters changes in cerebral palsy (CP) with focal spasticity after SDR in short-term follow-up. Methods CP classified as Gross Motor Function Classification System (GMFCS) level Ⅰ and Ⅱ who underwent SDR were included. Changes of spasticity, gait parameters and gait deviation index (GDI) were retrospectively reviewed. Results This study contained 26 individuals with 44 affected and 8 intact lower limbs (4 monoplegia, 4 hemiplegia and 18 diplegia). Mean age was 5.7 ± 1.9 years-old and follow-up duration was 9.9 ± 6.6 months. After SDR, average spasticity of 108 target muscles decreased from 2.9 ± 0.8 to 1.8 ± 0.6 in Modified Ashworth Scale (MAS). Kinematic curves changed after the surgery in sagittal and transverse plane in affected sides, further investigation showed improvements in ankle and knee. No changes were found in temporal-spatial parameters except decrease in cadence in affected sides. GDI improved significantly in affected limbs. Conclusion In short-term follow up, the new-protocol-guiding SDR can lower focal spasticity, GA showed improvements in kinematic parameters and GDI. Longer follow-up duration is needed to clarify the long-term outcome.

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Section: Discussionmentioning

confidence: 99%

Short-term Gait Parameters Change in Mild Spastic Cerebral Palsy after Selective Dorsal Rhizotomy Guided by Our Newly-Modified Protocol

Jiang¹,

Jiang²,

Yu³

et al. 2021

Preprint

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“…Cobb et al [45] suggested that that laminoplasty instead of laminectomy may prevent the development of lumbar musculoskeletal pain after SDR. Dekopov et al [46] evaluated 10 year outcomes of SDR in those with CP; they concluded that the degree of spasticity reduction due to SDR is directly dependent on the number of cut roots. The functional result of SDR is affected not only by a decrease in spasticity but also by the functional status and age of the patient at the time of surgery.…”

Section: Technical Advancementsmentioning

confidence: 99%

The progress in the treatment of spastic cerebral palsy with selective dorsal rhizotomy (SDR)

Sun

Huang

Deng

et al. 2020

Brain Science Advances

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Spasticity is the main disabling clinical manifestation of children with cerebral palsy (CP). Selective dorsal rhizotomy (SDR) has been performed for the treatment of spastic CP in Asia for quite some time from 1990. The purpose of this review is to discuss the historical origin and development of SDR. Our goal here is to identify the current patient selection criteria for SDR and to point out indications and contraindications based on the patients with CP, age from 2 to 18 years-old, over 6000 cases, who received SDR surgery with spasticity of muscle tension more than 3 degrees in our center. We also discuss evidence-based approaches on how to evaluate postoperative patient outcomes of SDR and how complications can be avoided. Finally, we mention progress made in terms of SDR technical advances and how improvements can be made in the future. In conclusion, SDR surgery is a reliable way to improve outcomes of patients with spastic CP and can be done carefully in patients as long as stringent selection criteria are used. However, more research and technological advancements are needed to help address associated complications.

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A systematic review of complications following selective dorsal rhizotomy in cerebral palsy

et al. 2023

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Long-term outcomes of SDR in various groups of cerebral palsy (CP) patients

Cited by 4 publications

References 18 publications

Short-term Gait Parameters Change in Mild Spastic Cerebral Palsy after Selective Dorsal Rhizotomy Guided by Our Newly-Modified Protocol

Short-term Gait Parameters Change in Mild Spastic Cerebral Palsy after Selective Dorsal Rhizotomy Guided by Our Newly-Modified Protocol

The progress in the treatment of spastic cerebral palsy with selective dorsal rhizotomy (SDR)

A systematic review of complications following selective dorsal rhizotomy in cerebral palsy

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