J Korean Neurosurg Soc.
1996 Oct;25(10):2001-2009.
Surgical Outcome and Intraoperative Electrophysiological Monitoring in Selective Posterior Rhizotomy
- Affiliations
-
- 1Department of Neurosurgery Chonbuk National University Medical School, Chonju, Korea.
- 2Department of Rehabilition Medicine, Chonbuk National University Medical School, Chonju, Korea.
- 3Department of Anesthesia, Chonbuk National University Medical School, Chonju, Korea.
Abstract
- Selective posterior rhizotomy(SPR) has been known to reduce the spasticity as well as to improve the quality of life in patients with intractable spasticity. Twenty patients underwent SPR under intraoperative electrophysiological monitoring (IOM). Fifty-two percent of sacrolumbar rootlet were cut after electrical stimulation. Eighteen patients(90%) with spastic type of cerebral palsy showed marked reduction of spasticity and functional improvement without any complication. The patients who did not respond to SPR had mixed types of spasticity. IOM facilitate the selection of pathological rootlets regardless of anaesthetic level, intensity of electrical stimulation, and individual variability of responses. It is concluded that careful selection of surgical candidates and of pathological rootlets under IOM are important to reduce the spasticity, thereby to obtain a better outcome.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Selective Posterior Rhizotomy(SPR) for Treatment of Spasticity in the Patient with Cerebral Palsy
- Surgical Treatment of Spasmodic Torticollis by Microvascular Decompression with Selective Dorsal Cervical Phizotomy: Case Report
- Clinical Significance of Electrophysiologic Monitoring during Surgery for Lower Thoracic Cord Tumor: Report of Three Cases
- The effect of selective posterior rhizotomy for the treatment of spastic upper extremity dysfunction
- Effects and Complications of the Upper Cervical Rhizotomy in Spasmodic Torticollis
