Conus-level combined dorsal and ventral lumbar rhizotomy for treatment of mixed hypertonia: technical note and complications
| Autor: | Elizabeth Martin, Patrick Bass, Robert P. Naftel, Laura Flynn, Ranbir Ahluwalia, Heather Riordan, Alice Lawrence |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Adolescent medicine.medical_treatment Scoliosis Rhizotomy Cerebral palsy 03 medical and health sciences Postoperative Complications 0302 clinical medicine Lumbar Muscle Hypertonia medicine Humans Spasticity Child Lumbar Vertebrae business.industry Laminectomy General Medicine medicine.disease Laminoplasty Surgery Treatment Outcome Spinal Cord Child Preschool 030220 oncology & carcinogenesis Hypertonia Female medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Neurosurgery: Pediatrics. 27:102-107 |
| ISSN: | 1933-0715 1933-0707 |
| DOI: | 10.3171/2020.6.peds20295 |
| Popis: | Combined dorsal and ventral rhizotomy is an effective treatment for patients with concurrent spasticity and dystonia, with the preponderance of complaints relating to their lower extremities. This operative approach provides definitive relief of hypertonia and should be considered after less-invasive techniques have been exhausted. Previously, the surgery has been described through an L1–S1 laminoplasty. In this series, 7 patients underwent a conus-level laminectomy for performing a lumbar dorsal and ventral rhizotomy. Technical challenges included identifying the appropriate-level ventral roots and performing the procedure in children with significant scoliosis. Techniques are described to overcome these obstacles. The technique was found to be safe, with no infections, CSF leaks, or neurogenic bladders. |
| Databáze: | OpenAIRE |
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