title: [Microsurgical selective neurotomy in treatment of the focal spastic syndromes of the different etiology].
abstract: To estimate the effectiveness of selective peripheral neurotomy (SPN) in the treatment of local botuloresistant spastic disorders.
  
  
  
  20 SPNs were performed in 18 patients with spastic disorders. In 11 cases we performed SPN of the nervus obturatorius, in 5 - tibialis, in 3 - musculocutaneous, in 1 - radialis. The results of surgical treatment were estimated by the Ashworth scale and GMFM-88. These data was statistically processed.
  
  
  
  There was a significant decrease of spasticity in most cases: from 4,02±0,52 points before surgery to 1,86±0,63 points after surgery (p<0,001). In 11 cases we observed significant improvement in motor functions: from 50,7±12,92% before surgery to 54,9±13,6% after surgery (p<0,001).
  
  
  
  SPN is an effective procedure which leads to significant reduction of spasticity, improvement in movement range motor functions in patients with spastic disorders.
authors.affiliation: FGBU "NII neĭrokhirurgii im. N.N. Burdenko" RAMN, Moskva.
authors.forename: A V
authors.initials: AV
authors.lastname: Dekopov
authors.forename: V A
authors.initials: VA
authors.lastname: Shabalov
authors.forename: A A
authors.initials: AA
authors.lastname: Tomskiĭ
authors.forename: M A
authors.initials: MA
authors.lastname: Khit'
authors.forename: E M
authors.initials: EM
authors.lastname: Salova