Long-term outcomes after selective dorsal rhizotomy in children with spastic diplegia
Author Information
Author(s): Eva Nordmark, Annika Lundkvist, Jan Lagergren, Gert Andersson, Lars-Göran Strömblad, Lena Westbom
Primary Institution: Lund University
Hypothesis
The study aims to evaluate long-term functional outcomes, safety, and side effects of selective dorsal rhizotomy (SDR) combined with physiotherapy in children with spastic diplegia.
Conclusion
SDR is a safe and effective method for reducing spasticity permanently without major negative side effects, providing lasting functional benefits over at least five years.
Supporting Evidence
- Muscle tone was immediately reduced in adductors, hamstrings, and dorsiflexors with no recurrence of spasticity over the 5 years.
- Significant improvements were seen in gross motor function and independence in self-care and mobility.
- 42% of children required additional orthopedic surgery during the follow-up period.
Takeaway
Doctors can help kids with tight muscles from cerebral palsy feel better and move better by doing a special surgery called selective dorsal rhizotomy, and it works for a long time.
Methodology
The study involved 35 children with spastic diplegia who underwent SDR and were assessed at multiple time points over five years for various motor functions and muscle tone.
Potential Biases
Potential bias may arise from the lack of a control group and the subjective nature of some assessments.
Limitations
The study did not include a comparison group, and the sample size for subgroups was small, which may affect the generalizability of the results.
Participant Demographics
The mean age at operation was 4.5 years, with 24 boys and 11 girls.
Statistical Information
P-Value
p < 0.001
Statistical Significance
p < 0.001
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website