Spinal deformity after selective dorsal rhizotomy in patients with cerebral palsy.
Selective dorsal rhizotomy is used widely as a means of treating spasticity associated with cerebral palsy. Little is known regarding the effect of the procedure on the development or progression of spinal deformity. The authors reviewed six patients with progressive deformity after rhizotomy. Prerhizotomy and postrhizotomy records of physical examinations and radiographs were reviewed retrospectively in an attempt to identify risk factors for development of and/or rapid progression of, spinal deformity. Detailed preoperative and postoperative evaluation of spinal alignment should be undertaken, particularly in those patients who may be at risk of rapidly progressive deformity.
Mooney
J F
JF
Department of Orthopaedic Surgery, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC 27157, USA.
Millis
M B
MB
D000293:Adolescent; D002547:Cerebral Palsy / Q000601:surgery*; D018450:Disease Progression; D017586:Diskectomy / Q000379:methods; D005260:Female; D006801:Humans; D008141:Lordosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D008159:Lumbar Vertebrae; D011859:Radiography; D012189:Retrospective Studies; D019051:Rhizotomy / Q000009:adverse effects*; D012307:Risk Factors; D013123:Spinal Fusion / Q000379:methods; D013126:Spinal Nerve Roots / Q000601:surgery*; D013997:Time Factors; D014143:Traction / Q000379:methods; D016896:Treatment Outcome