Advances on selective posterior rhizotomy for lower limb function in patients with cerebral palsy.
10.12200/j.issn.1003-0034.2020.05.020
- Author:
Jie XU
1
;
Lin XU
1
;
Jie ZENG
1
;
Chuan-Yu HU
1
;
Jing-Pei REN
1
;
Yi ZHAO
1
;
Le WANG
1
;
Ya-Lin ZHAO
1
;
Xiao-Hong MU
1
Author Information
1. The Fourth Department of Orthopaedics, Dongzhimen Hospital, Beijing University of Traditional Chinese Medicine, Beijing 100700, China.
- Publication Type:Journal Article
- Keywords:
Gait;
Lower limb motor function;
Muscle strength;
Range of motion;
Selective posterior rhizotomy
- MeSH:
Cerebral Palsy;
Humans;
Lower Extremity;
Muscle Spasticity;
Quality of Life;
Rhizotomy;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2020;33(5):489-492
- CountryChina
- Language:Chinese
-
Abstract:
Cerebral palsy is a common clinical syndrome of neurological disability in childhood, which seriously affects the quality of life of children and their families, and brings a heavy economic burden to the society. Domestic and foreign scholars had a long history of the application of selective posterior rhizotomy for the treatment of spastic cerebral palsy or mixed cerebral palsy with limb paralysis. It is effective in improving the lower extremity spasm of patients with cerebral palsy, and there are few cases with recurrences. After rehabilitation therapy, the muscle strength of patients with cerebral palsy was significantly improved compared with the previous one. The range of motion was significantly improved after operation, and there is no rebounded in aspect of joint activety in the long-term follow-up. The overall gait of the patient was significant improved. The author thought that selective posterior rhizotomy is effective in improving the motor function of lower limbs in patients with cerebral palsy, and it is worth being spread. However, it has to follow the principle of selecting appropriate cases before surgery, precise operation during operation, and timely and effective rehabilitation treatment after surgery, in order to achieve a better curative effect.
