Surgical Treatment for Spasticity: Selective Dorsal Rhizotomy – Technique and Literature Review

Spasticity is a motor disorder that leads to a resistance to passive joint movement. Cerebral palsy is the most important cause of spasticity and can be caused by several factors, including multiple gestations, alcoholism, infections, hemorrhages, drowning, and traumatic brain injuries, among others...

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Autores principales:	Marcos Paulo dos Santos Teixeira, Bernardo Assumpção de Monaco, Jessie Medeiros de Navarro, Emmanuel Alejandro Vazquez, Arthur José Maia Lopes, Thais Cristina de Souza Melo, Manoel Jacobsen Teixeira
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Revinter Publicações Ltda. 2018
Materias:	spasticity rhizotomy cerebral palsy electrical stimulation surgery Medicine R Surgery RD1-811
Acceso en línea:	https://doaj.org/article/6cfac324e7b74964a486dc9ba8a0c50f
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spelling	oai:doaj.org-article:6cfac324e7b74964a486dc9ba8a0c50f2021-11-03T23:45:46ZSurgical Treatment for Spasticity: Selective Dorsal Rhizotomy – Technique and Literature Review0103-53552359-592210.1055/s-0038-1623514https://doaj.org/article/6cfac324e7b74964a486dc9ba8a0c50f2018-05-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1623514https://doaj.org/toc/0103-5355https://doaj.org/toc/2359-5922Spasticity is a motor disorder that leads to a resistance to passive joint movement. Cerebral palsy is the most important cause of spasticity and can be caused by several factors, including multiple gestations, alcoholism, infections, hemorrhages, drowning, and traumatic brain injuries, among others. There are many scales that help to measure and monitor the degree of impairment of these patients. The initial treatment should focus on the causal factor, such as tumors, inflammation, degenerative diseases, hydrocephalus, etc. Subsequently, the treatment of spastic musculature includes oral or intrathecal myorelaxants, spinal cord electrostimulation, neurotomies, Lissauer tract lesion, dentatotomy and selective dorsal rhizotomy. The latter is a safe technique, possible to be performed in most centers with neurosurgical support, and it is effective in the treatment of severe spasticity. In this article, the authors describe the surgical technique and conduct a review the literature.Marcos Paulo dos Santos TeixeiraBernardo Assumpção de MonacoJessie Medeiros de NavarroEmmanuel Alejandro VazquezArthur José Maia LopesThais Cristina de Souza MeloManoel Jacobsen TeixeiraThieme Revinter Publicações Ltda.articlespasticityrhizotomycerebral palsyelectrical stimulationsurgeryMedicineRSurgeryRD1-811ENBrazilian Neurosurgery, Vol 40, Iss 03, Pp e238-e244 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	spasticity rhizotomy cerebral palsy electrical stimulation surgery Medicine R Surgery RD1-811
spellingShingle	spasticity rhizotomy cerebral palsy electrical stimulation surgery Medicine R Surgery RD1-811 Marcos Paulo dos Santos Teixeira Bernardo Assumpção de Monaco Jessie Medeiros de Navarro Emmanuel Alejandro Vazquez Arthur José Maia Lopes Thais Cristina de Souza Melo Manoel Jacobsen Teixeira Surgical Treatment for Spasticity: Selective Dorsal Rhizotomy – Technique and Literature Review
description	Spasticity is a motor disorder that leads to a resistance to passive joint movement. Cerebral palsy is the most important cause of spasticity and can be caused by several factors, including multiple gestations, alcoholism, infections, hemorrhages, drowning, and traumatic brain injuries, among others. There are many scales that help to measure and monitor the degree of impairment of these patients. The initial treatment should focus on the causal factor, such as tumors, inflammation, degenerative diseases, hydrocephalus, etc. Subsequently, the treatment of spastic musculature includes oral or intrathecal myorelaxants, spinal cord electrostimulation, neurotomies, Lissauer tract lesion, dentatotomy and selective dorsal rhizotomy. The latter is a safe technique, possible to be performed in most centers with neurosurgical support, and it is effective in the treatment of severe spasticity. In this article, the authors describe the surgical technique and conduct a review the literature.
format	article
author	Marcos Paulo dos Santos Teixeira Bernardo Assumpção de Monaco Jessie Medeiros de Navarro Emmanuel Alejandro Vazquez Arthur José Maia Lopes Thais Cristina de Souza Melo Manoel Jacobsen Teixeira
author_facet	Marcos Paulo dos Santos Teixeira Bernardo Assumpção de Monaco Jessie Medeiros de Navarro Emmanuel Alejandro Vazquez Arthur José Maia Lopes Thais Cristina de Souza Melo Manoel Jacobsen Teixeira
author_sort	Marcos Paulo dos Santos Teixeira
title	Surgical Treatment for Spasticity: Selective Dorsal Rhizotomy – Technique and Literature Review
title_short	Surgical Treatment for Spasticity: Selective Dorsal Rhizotomy – Technique and Literature Review
title_full	Surgical Treatment for Spasticity: Selective Dorsal Rhizotomy – Technique and Literature Review
title_fullStr	Surgical Treatment for Spasticity: Selective Dorsal Rhizotomy – Technique and Literature Review
title_full_unstemmed	Surgical Treatment for Spasticity: Selective Dorsal Rhizotomy – Technique and Literature Review
title_sort	surgical treatment for spasticity: selective dorsal rhizotomy – technique and literature review
publisher	Thieme Revinter Publicações Ltda.
publishDate	2018
url	https://doaj.org/article/6cfac324e7b74964a486dc9ba8a0c50f
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Surgical Treatment for Spasticity: Selective Dorsal Rhizotomy – Technique and Literature Review

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