[Percutaneous sacral thermorhizotomy to treat equinism of spastic cerebral palsy children].
We propose to evaluate the effect of sacral percutaneous thermorhizotomy on cerebral palsy children. A prospective study including 29 children followed by a multidisciplinary team was conducted from 1990 to 2000. A thermal radiofrequency lesion of the first sacral root was obtained by percutaneous puncture of the posterior intervertebral foramen with evaluation by stimulation of the best motor response for the minimal threshold (<0.5 volts). The efficacy of the lesion was evaluated by testing and modification of the stimulation threshold obtained (x 2). The results on spasticity was evaluated using the Held score and the functional effect on walking, and classified as "good" (9 cases), "efficacy" (6 cases) and "nil" (4 cases). Indications of the procedure are discussed during the walking acquisition period and growing period of the cerebral palsy child.
Service de Neurochirurgie B, CHU Montpellier, Université de Montpellier I. p-frerebeau@chu-montpellier.fr
P
P
Frèrebeau
F
F
Rejou
J
J
Trouillas
H
H
El Fertit
F
F
Segnarbieux
P
P
Coubes
D000328:Adult; D002547:Cerebral Palsy / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D004558:Electric Stimulation; D005260:Female; D006801:Humans; D008297:Male; D019635:Neurosurgical Procedures; D011446:Prospective Studies; D019051:Rhizotomy; D016896:Treatment Outcome; D016138:Walking