Disappearance of spasticity after selective dorsal rhizotomy does not prevent muscle shortening in children with cerebral palsy: a case report.
Selective dorsal rhizotomy is an effective treatment for spasticity in children with cerebral palsy who have a spastic motor disorder. It is hypothesized that muscle shortening is related to spasticity; the lack of stretch of a muscle is thought to be the cause of muscle shortening. If this is true, the treatment for spasticity should prevent the occurrence of muscle shortening during growth. We present the case of 1 child with cerebral palsy and spastic diplegia, for whom the treatment with selective dorsal rhizotomy was successful in improving the walking abilities. She did, however, develop muscle shortening during growth. In conclusion, the development of muscle shortening during growth in children with cerebral palsy and spastic paresis cannot be prevented by treatment for the spasticity alone.
Spijker
Margje
M
Rehabilitation Centre Heliomare, Wijk aan Zee, The Netherlands. m.spijker@heliomare.nl
Strijers
Rob L M
RL
van Ouwerkerk
Willem J R
WJ
Becher
Jules G
JG
D002547:Cerebral Palsy / Q000150:complications* / Q000601:surgery*; D002648:Child; D002657:Child Development; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007796:Laminectomy; D008159:Lumbar Vertebrae; D009128:Muscle Spasticity / Q000150:complications / Q000601:surgery; D018482:Muscle, Skeletal / Q000254:growth & development* / Q000503:physiopathology; D009135:Muscular Diseases / Q000209:etiology* / Q000503:physiopathology; D019051:Rhizotomy; D013126:Spinal Nerve Roots / Q000601:surgery*; D016896:Treatment Outcome