- statistically significant improvements in lower-limb muscle tone, gross motor function, and the ability to perform activities of daily living in the majority of patients.
- the improvements lasted throughout adolescence and into early adulthood
- children performed better who had better preoperative gross motor function (GMFCS Groups I through III), spasticity involved only two limbs, rather than three or four and spasticity involved the adductor muscles of the hip only moderately (Ashworth score lower than 3)
- following SDR children were less likely to need adjunct orthopedic surgeries or Botox injections to control spasticity
Wednesday, June 12, 2013
Long Term Benefits of Selective Dorsal Rhizotomy
The Journal of Neurosurgery published research on the long term benefits of selective dorsal rhizotomy (SDR) in children with cerebral palsy. The participants in the study included 102 children with spastic CP who underwent SDR between the ages of 3 and 10 years and were evaluated by a multidisciplinary team before surgery and periodically afterward. After evaluating the data the following results were seen: