Selective posterior rhizotomy and intrathecal baclofen for the treatment of spasticity.
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.
von Koch
C S
CS
Department of Neurological Surgery, University of California San Francisco, 505 Parnassus Avenue, San Francisco, CA 94143-0112, USA. cvonkoch@yahoo.com
Park
T S
TS
Steinbok
P
P
Smyth
M
M
Peacock
W J
WJ
D001418:Baclofen / Q000008:administration & dosage*; D006801:Humans; D007278:Injections, Spinal; D009128:Muscle Spasticity / Q000188:drug therapy* / Q000601:surgery*; D018579:Patient Selection; D019051:Rhizotomy; D013131:Spine / Q000601:surgery*; D016896:Treatment Outcome
D001418:Baclofen