Clinical efficacy of selective dorsal rhizotomy combined with multi-modal techniques in spastic cerebral palsy
10.3760/cma.j.cn115354-20191122-00684
- VernacularTitle:选择性脊神经背根切断术联合多模式技术治疗痉挛型脑瘫的临床疗效
- Author:
Like GE
1
;
Yulan ZHU
;
Hui GUO
Author Information
1. 青岛大学医学部，青岛 266071
- Keywords:
Selective dorsal rhizotomy;
Multi-modal technique;
Spastic cerebral palsy
- From:
Chinese Journal of Neuromedicine
2020;19(6):591-595
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the clinical efficacy and safety of selective dorsal rhizotomy (SDR) combined with multi-modal techniques in spastic cerebral palsy (SCP).Methods:Thirty-one SCP patients, admitted to our hospital from June 2016 to June 2019, were chosen in our study; these patients received SDR combined with multi-modal techniques(single-level laminectomy, and intraoperative electromyography monitoring combined with micro-neurosurgery); and all patients received regular physical therapy postoperatively. Grading of manual muscle test (MMT) and grading modified Ashworth scale (MAS), and scores of Gross Motor Function Measure-88 (GMFM-88), Berg balance scale (BBS) and Functional Independence Measure (FIM) before surgery, and one, three, and 6 months after surgery were evaluated and compared.Results:As compared with those before surgery, significantly increased MMT grading, statistically decreased MAS grading, and significantly increased GMFM-88 scores, BBS scores, and FIM scale scores one, 3, and 6 months after surgery were recorded in these patients ( P<0.05). As compared with those one month after surgery, significantly increased MMT grading, statistically decreased MAS grading, and significantly increased GMFM-88 scores and FIM scores 6 months after surgery were recorded in these patients ( P<0.05). As compared with those 3 months after surgery, statistically decreased MAS grading 6 months after surgery were recorded in these patients ( P<0.05). There were no severe complications as CNS infection, cerebrospinal fluid leakage, incontinence, spondylolisthesis or spinal deformity, but only transient muscle weakness and numbness of lower limbs. Conclusion:SDR combined with multi-modal techniques is a safe and effective method for patients with SCP, which is minimally invasive, accurate and safe.
