Incidence of spinal deformity in children after multiple level laminectomy for selective posterior rhizotomy

Peter, Jonathan C.; Hoffman, EB; Arens, Leila J.; Peacock, Warwick J.

doi:10.1007/bf00262263

Cited by 74 publications

(37 citation statements)

References 20 publications

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“…Asymptomatic spondylolysis or spondylolisthesis was seen in 9% of patients undergoing multilevel laminectomy for rhizotomy [64]. Although the incidence of spondylolysis or spondylolisthesis is higher than that in the normal population, it is not when compared with the reported incidence of 21% in spastic diplegic cerebral palsy [65].…”

Section: Complications Of Rhizotomymentioning

confidence: 52%

“…Although the incidence of spondylolysis or spondylolisthesis is higher than that in the normal population, it is not when compared with the reported incidence of 21% in spastic diplegic cerebral palsy [65]. Scoliosis, kyphosis or lordosis was no more prevalent in rhizotomy patients than in cerebral palsy patients in general [64]. Spinal stenosis was seen in 1.5% of patients after multilevel laminectomy or laminotomy for dorsal rhizotomy [66].…”

Section: Complications Of Rhizotomymentioning

confidence: 66%

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Selective Posterior Rhizotomy and Intrathecal Baclofen for the Treatment of Spasticity

et al. 2001

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Spasticity occurs in children and adults due to a wide range of conditions, including cerebral palsy, head and spinal cord trauma, cerebrovascular accidents and multiple sclerosis. Multiple treatment options have been described, including medical and surgical treatments. Medical treatments include intramuscular botulinum A toxin, oral baclofen and supportive bracing. Surgical approaches include selective posterior rhizotomy, intrathecal baclofen and orthopedic procedures to address deformities. Many reports have been published on these different treatment options, but rarely has a comparison been made between them. Therefore, this review is aimed at comparing selective posterior rhizotomy and intrathecal baclofen injection for spasticity due to cerebral palsy, especially in children.

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Section: Complications Of Rhizotomymentioning

confidence: 52%

Section: Complications Of Rhizotomymentioning

confidence: 66%

Selective Posterior Rhizotomy and Intrathecal Baclofen for the Treatment of Spasticity

et al. 2001

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“…Since the report of Raimondi et al [19] in 1976. a number of authors have recommended replacement lami noplasty [20][21][22], Its value in the prevention of delayed deformities and possible protection against the develop ment of musculoskeletal pain has been reported [21,22]. In this particular group of patients, the author believes that the main value of this procedure could be the restora tion of the spinal anatomy, therefore, rendering future surgery in the event of recurrence 'safer'.…”

Section: Discussionmentioning

confidence: 99%

Myxopapillary Ependymoma of the Conus medullaris and Filum terminale in the Pediatric Age Group

Nagib¹,

O’Fallon²

1997

Pediatr Neurosurg

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Myxopapillary ependymoma of the conus medullaris and filum terminale is a relatively common spinal intradural neoplasm in adulthood. However, only a reported 8–12% of such tumors affect this site in children, and the ideal management remains controversial. Three children with myxopapillary ependymomas of the conus medullaris and filum terminale were treated by the author over a 2-year period with an at least 24-month follow-up. These children, ages 7, 8 and 13 years, included 1 male and 2 females. Their salient presentation was an acute exacerbation of chronic lower back pain. The duration of symptoms prior to diagnosis ranged from 16 to 18 months. A preoperative MRI, with and without contrast, was available for every case. All children underwent replacement laminoplasty with gross total tumor resection. Somatosensory evoked potentials were used in all surgeries. An early postoperative MRI of the entire neural axis was available for all cases. No permanent complications were noted. Self-catheterization for 6 weeks was required in 1 child with preoperative urinary incontinence. One child received radiation therapy following a recurrence. Clinical and surgical results were compared to the only 2 other reported series (11 patients) addressing this type of tumor in children. Based on this review, the authors propose that: (1) unexplained and intractable lumbar pain in childhood should be thoroughly investigated with an MRI scan; (2) the gross feature of myxopapillary ependymoma allowing for complete resectability appears to be the key prognostic factor; (3) radiotherapy appeared to have no proven value in completely resected tumors in children; (4) postoperative baseline MRI and regular sequential imaging studies are essential for long-term follow-up, and (5) replacement laminoplasties may be of value in preventing future spinal deformities, musculoskeletal pain and allowing for an ‘easier’ resection in the event of a recurrence.

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“…Previous reports on multiple level lumbar laminectomies in children did not show an in creased incidence in spinal instability or deformity [25]. The follow-up on the spinal condition of children in the Capetown series revealed no increased incidence o f defor mity beyond that normally seen in children with cerebral palsy [26). The restoration of the normal bony anatomy may be beneficial however, for improved muscle attach ment.…”

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confidence: 84%

Selective Posterior Rhizotomy: Evolution of Theory and Practice

Peacock¹,

Staudt²

1991

Pediatr Neurosurg

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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 with spastic cerebral palsy. Although the procedure of posterior rhizotomy is nearly 100 years old, a revised technique was introduced in 1981. Since that time, the procedure has been further refined and its use has altered the theory and practice of cerebral palsy management. This paper reviews the neurophysiological and anatomical facts that have influenced the development of the technique. The current practice of selective posterior rhizotomy is an evolving process which has stimulated scientific interest in spasticity, cerebral palsy and its management.

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Incidence of spinal deformity in children after multiple level laminectomy for selective posterior rhizotomy

Cited by 74 publications

References 20 publications

Selective Posterior Rhizotomy and Intrathecal Baclofen for the Treatment of Spasticity

Selective Posterior Rhizotomy and Intrathecal Baclofen for the Treatment of Spasticity

Myxopapillary Ependymoma of the Conus medullaris and Filum terminale in the Pediatric Age Group

Selective Posterior Rhizotomy: Evolution of Theory and Practice

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