Systematic review on use and efficacy of selective dorsal rhizotomy (SDR) for the management of spasticity in non-pediatric patients.
Pramath KakodkarAria FallahAlbert TuPublished in: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery (2021)
The success and efficacy appear durable in the short-term, but further follow-up is necessary to validate these findings. The goal of the intervention dictates the ideal adult patient for SDR. Patients seeking ambulatory improvement, any etiology of spasticity besides MS, seem favorable. Positive locomotive predictors include the ability to isolate lower extremity function, lack of contractures, lower limb strength, and post-SDR physiotherapy.
Keyphrases
- lower limb
- systematic review
- end stage renal disease
- spinal cord injury
- ejection fraction
- randomized controlled trial
- cerebral palsy
- newly diagnosed
- blood pressure
- chronic kidney disease
- multiple sclerosis
- botulinum toxin
- upper limb
- mental health
- spinal cord
- mass spectrometry
- case report
- peritoneal dialysis
- children with cerebral palsy