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KMID : 0359819930220060715
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Journal of Korean Neurosurgical Society
1993 Volume.22 No. 6 p.715 ~ p.722
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Selective Posterior Rhizotomy in the Cerebral Palsy Spasticity
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최중언
윤수한/김은영/김선호/박창일
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Abstract
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Selective posterior rhizotomies were carried out in 30 patients (mean age, 7 years) with cerebral palsy. The procecdure involves lumbo-sacral laminectomy with stimulation of the rootlets from the second lumbar to the second sacral posterior roots
on the
involved side. Those rootlets showing abnormal EMG response with abnormal muscle contraction were cut under the surgical microscope. The mean follow-up period was 10 months. The outcome was evaluated with the preoperative and postoperative
Peacock's
grading system. All patients became improved in spasticity and 71 (57%) patients improved in functional Peacock grading. The young and intelligent patients became more improved but, that was not significant stastically. The functional grade was
stastically significant prognostic factor : The low functional group become more improved. Longer follow-up is expected to show more improvement in functional grade.
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KEYWORD
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