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KMID : 0361419930170010105
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Journal of Korean Academy of Rehabilitation Medicine
1993 Volume.17 No. 1 p.105 ~ p.111
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The Effectiveness of Selective Posterior Rhizotomy in Cerebral Palsy
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Abstract
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Selective posterior rhizotomy(SPR) is a neurosurgical procedure designed to alleviate spasticity and has been successfully used for children with spastic cerebral palsy. In our hospital 30 patients had undergone SPR between June, 1988 and June,
1992 and
the only 20 patients were followed over 6 months after operation. The authors have analyzed the status of 20 children with spastic cerebral palsy before and after operation to determine the effects of this therapy on muscle tone, range of
movement
and
motor function. Postoperative testes showed a reduction in muscle tone in all cases compared with preoperative assessments. Range of motion in lower extrimities was increased in 65 to 85% of cases while motor function continued to improve in 10
cases.
Functional gains were greatest in children operated on under the age of 5. The complications of SPR were not serious; only one case had transitory bladder problem, 2 cases had mild spinal instability, 2 cases had mild scoliosis.
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