...Kayli Gimarc; Suzanne Yandow; Samuel Browd; Connie Leibow; Kelly Pham Introduction: Children with spastic diplegic cerebral palsy (CP) often have functional and gait impairments related to spasticity and loss of range of motion (ROM). Selective dorsal rhizotomy (SDR) and single-event multilevel...

...George Georgoulis; Argyrios Dinopoulos; Emmanouil Gkliatis Introduction: Study of muscle tone in individuals with severe spasticity (Modified Asworth Scale – MAS:3) under general anesthesia can confirm or rule out the eventual necessity of the impending spasticity relieving ablative neurosurgery...

...Vicente Martinez; Samuel Browd; Marisa Osorio; Erin Hooper; Jefferson Slimp; Xiao Bo; Gregory A. Kinney Aims: Spasticity remains a major impediment in the treatment of cerebral palsy (CP). The single-level selective dorsal rhizotomy (SDR) is a minimally invasive intervention that reduces spasticity...

... or malfunction of the primarily not infected device should be approached with a high level of suspicion. Intrathecal baclofen Ventriculoperitoneal shunt Infection Spasticity Modern invasive treatment modalities have altered the management and improved the prognosis for many patients over the recent...

...Yusuke S. Hori; Toru Fukuhara; Mizuho Aoi; Motoharu Ochi; Mahoko Furujo Gaucher disease (GD) is the most common type of lysosomal storage disease, with type 2 being the most severe subtype. Type 2 GD patients suffer significant progressive neurological impairment, including spasticity, opisthotonus...

...James Bales; Susan Apkon; Marisa Osorio; Gregory Kinney; R. Aaron Robison; Erin Hooper; Samuel Browd Background/Aims: Selective dorsal rhizotomy for spastic cerebral palsy is an effective and well-validated surgical approach. Multiple techniques have been described in the past including multiple...

...Hector E. James; Paul B. Hofrichter; Louise Z. Spierre; Philipp R. Aldana We describe the initiation and development of a comprehensive multidisciplinary and multi-institutional program for the evaluation and management of youth with spasticity. A descriptive step-by-step process...

...S. Sgouros; C. Charalambides; P. Matsota; I. Tsangaris; G. Kostopanagiotou Introduction: Intrathecal baclofen therapy using implantable pumps is an established treatment for spasticity. The pumps occasionally experience serious malfunction. Case Report: A 12-year-old girl suffering from spastic...

...Paul Steinbok; John R. Kestle The extent of variation between centers in the electrophysiologic techniques used in lumbosacral selective dorsal rhizotomy (SDR) for spastic cerebral palsy was studied using a questionnaire survey. Nineteen centers completed the questionnaire, and the responses were...

...Benjamin C. Warf; Kevin R. Nelson Concerns have arisen regarding the ability of physiologic techniques to select rootlets mediating spasticity in children undergoing partial dorsal rhizotomy (PDR) for the treatment of spastic gait from cerebral palsy. To determine whether these physiologic...

...Paul Steinbok; Hossein Daneshvar; Dewey Evans; John R.W. Kestle The purpose of the study was to analyze the relative cost of selective functional posterior rhizotomy (SFPR) and continuous intrathecal baclofen in the treatment of children with severe spastic quadriplegia related to cerebral palsy...

...Janet Adams; Leslie D. Cahan; Jacguelin Perry; Lauren M. Beeler Fourteen ambulatory patients with spastic cerebral palsy were evaluated prior to and 6 months following selective dorsal rhizotomy. An instrumented gait analysis identified significant improvements in foot contact patterns, velocity...

...Bruce B. Storrs This preliminary report describes two cases of progressive spasticity and scoliosis in children with myelomeningocele. Both patients had evidence of tethered spinal cord. Untethering of the spinal cord was successful in arresting the scoliosis but not the spasticity. Selective...

... dramatically following rhizotomy were purely spastic and intelligent, were significantly more affected by spasticity in the lower than the upper limbs, had some degree of forward locomotion, and could side-sit independently. Patients with severe athetosis or marked contractures improved least. 5 3 2008...

...Mary Louise Sparkes; Alan S. Klein; Ann-Christine Duhaime; Parker Mickle Postoperative pain control can be a major problem after selective dorsal rhizotomy for the treatment of spasticity. We report the use of epidural morphine delivered via a catheter placed at surgery for postoperative analgesia...

...Paul Steinbok; Ann Reiner; Richard D. Beauchamp; Douglas D. Cochrane; Robert Keyes Fifty consecutive children are described with spastic cerebral palsy treated with selective functional lumbar and sacral rhizotomy and followed for a minimum of 6 months. In all patients, spasticity improved...

...Nanette L. Newberg; Judith L. Gooch; Marion L. Walker The method used in the intraoperative portion of the selective dorsal rhizotomy procedure for the selection of abnormal circuits within the central nervous system of children with spasticity due to cerebral palsy is described. The decision...

...Warwick J. Peacock; Loretta A. Staudt The spastic type of cerebral palsy has become more prevalent due to improved survival rates of premature infants. Selective posterior rhizotomy is a neurosurgical procedure which is designed to reduce spasticity and has been successfully used for children...

...A. Tommy Bergenheim; Margareta Wendelius; Saeed Shahidi; Eva Larsson Patients with myelomeningocele may often suffer from severe spasticity. Surgical treatment of the underlying pathology such as hydromyelia and tethered cord may be successful, but failures are not uncommon. Those cases may offer...

...Judith L. Gooch; Wende A. Oberg; Barbara Grams; Lorrie A. Ward; Marion L. Walker Intrathecal baclofen is increasingly being used to manage severe spasticity in children. Although substantial tone reduction with this treatment has been documented, complications also occur. In this study, we describe...