Obturator Neurectomy for Adductor Spasticity: A Case Series
Author Information
Author(s): Muacevic Alexander, Adler John R, Feygin Maximillian S, Larkin Michael, Curry Dan, Rosenfeld Scott B, Schwabe Aloysia, Gadgil Nisha
Primary Institution: Baylor College of Medicine, Houston, USA
Hypothesis
Can obturator neurectomy effectively reduce adductor spasticity and improve hip outcomes in patients with cerebral palsy?
Conclusion
Obturator neurectomy is an effective procedure that can reduce adductor tone and improve hip outcomes in patients with cerebral palsy.
Supporting Evidence
- All patients reported high satisfaction with the procedure.
- The average length of hospital stay was 1.6 days.
- Improvements in hip range of motion and mobility were observed in all patients.
- Six out of eight patients reported being pain-free after the procedure.
- Two patients required further Botox injections post-surgery.
Takeaway
This study shows that a surgery called obturator neurectomy can help kids with cerebral palsy who have tight leg muscles, making it easier for them to move and feel better.
Methodology
A retrospective case series of eight patients who underwent obturator neurectomy at Texas Children's Hospital from 2008 to 2023.
Potential Biases
The procedure's effectiveness may vary based on the operator's skill and the specific patient circumstances.
Limitations
The study has a small sample size, missing data, and inconsistency in reported outcomes.
Participant Demographics
All patients had cerebral palsy, with an average age of 17 years (range: 7-24), and included both ambulatory and non-ambulatory individuals.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website