Long Term Results of Microsurgical Dorsal Root Entry Zonotomy for Upper Extremity Spasticity

Hong, Joo-Chul; Kim, Min‐Soo; Chang, Chul Hoon; Kim, Sangwoo; Kim, Oh-Lyong; Kim, Seongho

doi:10.3340/jkns.2008.43.4.182

Cited by 6 publications

(1 citation statement)

References 19 publications

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“…Medical treatments for spasticity include physiotherapy, perineural injections of alcohol, and intramuscular injections of botulinum toxin. When these treatments fail, other options can be considered such as orthopedic surgery (aponeurotomy of gastrocnemius or lengthening of calcaneus tendon) and neurosurgical treatment (intrathecal baclofen, peripheral neurotomy, dorsal rhizotomy, or Dorsal Root Entry Zoneotomy 9) ). Stoffel introduced the partial peripheral neurotomy technique in 1910 7) .…”

Section: Introductionmentioning

confidence: 99%

Long-Term Results of Microsurgical Selective Tibial Neurotomy for Spastic Foot : Comparison of Adult and Child

Kim

Lee²,

Kim

et al. 2010

J Korean Neurosurg Soc

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Objective : Selective neurotomy is generally a safe, effective, and long-lasting treatment for patients with spastic equinovarus foot deformity. We retrospectively analyzed the results of microsurgical selective tibial neurotomy (STN) for spastic feet in adults and children. Methods : A neurosurgeon selected 32 patients with 45 spastic feet (adults : 13, children : 32) to undergo microsurgical STN between October 1998 and September 2007. A physician of rehabilitation assessed spasticity pre-and postoperatively, that was based on the Ashworth scale, ankle clonus, and the amplitude of ankle dorsiflexion. The mean postoperative follow-up period was 36.7 months in adults and 42.5 months in children.Results : Spastic components of the feet were corrected immediately after surgery in both the adult and child groups. The mean Ashworth's grade changed from 3.6 ± 0.40 to 1.6 ± 0.70 in adults and from 3.7 ± 0.69 to 1.4 ± 0.49 in children. Mean ankle clonus decreased markedly, from 1.6 ± 0.79 to 0.3 ± 0.42 in adults and from 1.7 ± 0.65 to 0.3 ± 0.56 in children. The mean amplitude of ankle dorsiflexion was improved, but eight (adults: 4, children: 4) contracted feet needed complementary orthopedic correction for acceptable results. Conclusion : STN can be effective in the long-term for improving lower limb function and reduction of equinovarus deformity. Our results demonstrate that STN might be an effective procedure for treating localized harmful spastic feet in adults and children.

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Section: Introductionmentioning

confidence: 99%