Comparison between rhizotomy and sectional cross anastomosis on posterior branch of the lumbar sacral spinal nerves in children with cerebral palsy
10.3760/cma.j.issn.1671-8925.2010.03.016
- VernacularTitle:选择性脊神经后根切断术与切断并交叉吻合术治疗脑瘫患者疗效比较
- Author:
Wei-Jian CHEN
1
;
Gui-Tao LI
;
Di-Xin LUO
;
Yong QI
;
Xun-Jie JIN
;
Wang-Yang XU
;
Zhao-Tian ZHANG
Author Information
1. 广东省第二人民医院
- Keywords:
Cerebral palsy;
Spinal injury;
Spinal nerve;
Recovery of function
- From:
Chinese Journal of Neuromedicine
2010;9(3):281-284
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compared the therapeutic effect of selective posterior rhizotomy(SPR)and selective posterior anastomosis(SPA)on children with cerebral palsy.Methods The postoperative follow-up was carried out in 96 patients with cerebral palsy,including 47 children performed bilateral SPR from L_3 level to S_1 level and 49 children performed SPA from the distal ends of L_3 level to L_5 level and from L_4 level to S_1 level,respectively.The tension and myotatic reflex of the lower limbs were estimated 2 w and 1 y after operation.Results Follow-up was conducted for 12 to 18 months on these patients.No significant difference on tension and myotatic reflex was found between patients performed SPR and that performed SPA 2 w after the operation(P>0.05).No significant difference of muscular tension,but statistic difference of motor function in the patients performed SPA was showed as compared with that in the patients performed SPR 1 y after the operation(P>0.05).Conclusion Long-term follow-up shows great motor function improvement on patients performed SPA.
