Utilization of intraoperative electromyography for selecting targeted fascicles and determining the degree of fascicular resection in selective tibial neurotomy for ankle spasticity

Abstract

STN is an effective procedure for spastic ankle in well-selected cases. Intraoperative EMG helps in selection of targeted fascicles, increases objectivity in neurotomy and prevents excessive denervation.

Utilization of electromyography during selective obturator neurotomy to treat spastic cerebral palsy accompanied by scissors gait

“…In recent years, surgical treatments for this disease have used intraoperative EMG to select targeted nerve bundles and determine the degree of neurotomy. This technique has expectedly increased the accuracy of resection (Sitthinamsuwan et al, 2013;Tomita et al, 2011). In this study, 18 children with cerebral palsy underwent peripheral neurotomy with selective obturator neurotomy, employing intraoperative EMG in the surgical process.…”

“…In recent years, intraoperative electromyography (EMG) has been used during surgical operations to help surgeons select targeted nerve bundles and determine the degree of bundle resection. This has greatly increased the precision of surgical procedures and prevented excessive denervation (Patikas et al, 2005;Sitthinamsuwan et al, 2013). The therapeutic effect of this intervention in spastic cerebral palsy patients is traditionally assessed via gross motor function measurement (GMFM), modified ashworth scale (MAS), and passive range of motion (PROM).…”

Neuro-Orthopedic Surgery for Equinovarus Foot Deformity in Adults: A Narrative Review

“…Our search of electronic literature databases identified 113 publications, 33 of which presented efficacy results (covering a total of 1010 participants) and were included in the present review. Seventeen publications referred to nerve procedures (n=371 participants) (Table 1) (27-31, 33, 39, 43, 51, 65-72), 12 referred to tendon procedures (n=527) (Table 2) (21, 34, 53, 55-57, 59, 61, 62, 62, 63, 73) and four referred to mixed tendon and nerve procedures (n=112) (Table 3) (48,(74)(75)(76). There were only four comparative studies, one randomized controlled trial (comparing tibial nerve neurotomy with BTI) (65), and three parallel group studies on tendon procedures (21,56,59).…”