Long‐term outcome and adverse effects of selective dorsal rhizotomy in children with cerebral palsy: a systematic review

@article{Grunt2011LongtermOA,
  title={Long‐term outcome and adverse effects of selective dorsal rhizotomy in children with cerebral palsy: a systematic review},
  author={Sebastian Grunt and Jules G. Becher and R. Jeroen Vermeulen},
  journal={Developmental Medicine \& Child Neurology},
  year={2011},
  volume={53}
}
Aim  To assess the long‐term outcome and adverse events of selective dorsal rhizotomy (SDR) in children with spastic cerebral palsy (CP). 
Long‐term effects of selective dorsal rhizotomy in children with cerebral palsy: a systematic review
To evaluate the long‐term effects of selective dorsal rhizotomy (SDR) 10 years or more after the procedure and complications observed any time after SDR in children with cerebral palsy (CP).
A prospective cohort study investigating gross motor function, pain, and health‐related quality of life 17 years after selective dorsal rhizotomy in cerebral palsy
The aim of this study is to evaluate the long‐term effects of selective dorsal rhizotomy (SDR), 15 to 20 years after surgery in patients with cerebral palsy.
Long‐term effect of selective dorsal rhizotomy on gross motor function in ambulant children with spastic bilateral cerebral palsy, compared with reference centiles
The aim of this study was to evaluate the long‐term effect of selective dorsal rhizotomy (SDR) on the gross motor function of ambulant children with spastic bilateral cerebral palsy (CP), compared
Long‐term outcomes after selective dorsal rhizotomy: a retrospective matched cohort study
TLDR
To examine long‐term outcomes of selective dorsal rhizotomy (SDR) 10 to 17 years after surgery, a large number of patients treated with SDR had undergone previous SDRs and the prognosis was poor.
Role of femoral derotation on gait after selective dorsal rhizotomy in children with spastic cerebral palsy
TLDR
To evaluate the long‐term outcome of selective dorsal rhizotomy on gait and the influence of previous femoral derotation osteotomy (FDO), a single SDR operation is performed on the femoral arch of the knee.
Selection criteria for selective dorsal rhizotomy in children with spastic cerebral palsy: a systematic review of the literature
TLDR
The aim of this study was to summarize the selection criteria for SDR in children with spastic CP.
Selective Dorsal Rhizotomy for the Treatment of Gait Dysfunction in Cerebral Palsy: A Critical Analysis Review.
Objective physical examination measures should be developed and improved to identify and measure spasticity and to differentiate it from other types of movement abnormalities.Using gait analysis as
Selective dorsal rhizotomy remains experimental in cerebral palsy
  • M. Crilly
  • Medicine, Psychology
    BMJ : British Medical Journal
  • 2012
The recent guideline from the National Institute for Health and Clinical Excellence (NICE) on the clinical management of children with cerebral palsy advises clinicians to consider selective dorsal
Functional performance in self‐care and mobility after selective dorsal rhizotomy: a 10‐year practice‐based follow‐up study
TLDR
To explore changes in performance in daily activities (self‐care and mobility) 10 years after selective dorsal rhizotomy (SDR), a large number of subjects underwent SDR-guided cell reprograming.
...
...

References

SHOWING 1-10 OF 38 REFERENCES
Evaluation of selective dorsal rhizotomy for the reduction of spasticity in cerebral palsy: a randomized controlled trial
TLDR
In conclusion, SDR combined with PT and OT leads to significantly greater functional motor improvement at 1 year following surgery compared withPT and OT alone.
Long-term outcomes five years after selective dorsal rhizotomy
TLDR
SDR is a safe and effective method for reducing spasticity permanently without major negative side effects and in a group of carefully selected and systematically followed young children with spastic diplegia it provides lasting functional benefits over a period of at least five years postoperatively.
Long-Term Outcome after Selective Posterior Rhizotomy in Children with Spastic Cerebral Palsy
TLDR
It was concluded that improvements in lower limb motor outcome are present at 1 year after SPR, and that these improvements are generally maintained at 5 years.
Outcomes after selective dorsal rhizotomy for spastic cerebral palsy
  • P. Steinbok
  • Medicine, Psychology
    Child's Nervous System
  • 2001
TLDR
The role of SDR could be defined in the management of the child with spastic cerebral palsy, in the light of alternative therapies, such as intrathecal baclofen and botulinum toxin, which have been introduced more recently.
Long-term functional outcome after selective posterior rhizotomy.
TLDR
It is concluded that SPR in conjunction with intraoperative stimulation is valuable for permanently alleviating lower-limb spasticity while augmenting motor function.
Functional performance following selective posterior rhizotomy: long-term results determined using a validated evaluative measure.
TLDR
The authors conclude that SPR performed using intraoperative stimulation is valuable in the augmentation of motor function and self-care skills essential to the performance of ADL.
Orthopaedic surgery after selective dorsal rhizotomy
TLDR
The need for orthopaedic surgery was highest among children with walking capacity and children without walking capacity, and the most frequent procedures were subtalar arthrodesis, Achilles tendon lengthening and adductor tendon lengthening.
Effect of selective dorsal rhizotomy on need for orthopedic surgery for spastic quadriplegic cerebral palsy: long-term outcome analysis in relation to age.
TLDR
The results of this study highlight the effect of SDR on gait status in children with spastic quadriplegic cerebral palsy, and the percentage of patients needing orthopedic operations was not as high as reported previously.
Selective dorsal rhizotomy: meta‐analysis of three randomized controlled trials
TLDR
SDR+PT is efficacious in reducing spasticity in children with spastic diplegia and has a small positive effect on gross motor function.
Follow-up of children with cerebral palsy after selective posterior rhizotomy with intensive physiotherapy or physiotherapy alone.
TLDR
It is concluded that this comparative study failed to demonstrate any additional effect of SPR on motor development of children with spastic CP, but SPR may contribute to a resumption of motor development in children with arrested motor development despite vigorous conservative therapy.
...
...