Selective dorsal rhizotomy to manage spasticity in children with cerebral palsy.
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Abstract
Sr. Editor:
La parálisis cerebral (PC) es la discapacidad física infantil más frecuente. Tradicionalmente, los niños con hipertonía que no eran ambulatorios fueron considerados candidatos para la terapia de baclofeno intratecal para mitigar las molestias, mientras que la rizotomía dorsal selectiva (SDR) se reservaba para niños ambulatorios para mejorar la marcha. En la actualidad, el tratamiento quirúrgico de SDR está cobrando importancia debido a que se está comprobando que ofrece a todos los niños afectados buenas oportunidades para mejorar la calidad de vida (1).
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References
Davidson B, Schoen N, Sedighim S, Haldenby R, Dalziel B, Breitbart S, et al. Intrathecal baclofen versus selective dorsal rhizotomy for children with cerebral palsy who are nonambulant: a systematic review. J Neurosurg Pediatr. 2019 Oct 18:1-9.
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Graham D, Aquilina K, Mankad K, Wimalasundera N. Selective dorsal rhizotomy: current state of practice and the role of imaging. Quant Imaging Med Surg. 2018; 8(2): 209-218
Kainz H, Hoang H, Pitto L, Wesseling M, Van Rossom S, Van Campenhout A, et al. Selective dorsal rhizotomy improves muscle forces during walking in children with spastic cerebral palsy. Clin Biomech (Bristol, Avon). 2019; 65: 26-33.
Jeffery SMT, Markia B, Pople IK, Aquilina K, Smith J, Mohamed AZ, et al. Surgical Outcomes of Single-Level Bilateral Selective Dorsal Rhizotomy for Spastic Diplegia in 150 Consecutive Patients. World Neurosurg. 2019 May; 125: e60-e66.