Research progress on selective dorsal rhizotomy and related techniques in the treatment of lower limb spasm

doi:10.3969/j.issn.1672-6731.2023.12.014

Abstract

Abstract:

Selective dorsal rhizotomy (SDR) is an effective method for the treatment of lower limb spasm, especially the advancement of intraoperative neurophysiological monitoring technology, which can make surgery more and more minimally invasive and accurate. This article reviews the surgical methods, intraoperative neurophysiological monitoring techniques, lower limb function assessment methods, surgical efficacy and postoperative complications of SDR.

Key words: Cerebral palsy, Spasm, Cordotomy, Neurophysiological monitoring, Review

摘要：

选择性脊神经背根切断术（SDR）是治疗下肢痉挛的有效方法，特别是术中神经电生理监测技术的进步，使SDR越来越微创和精准。本文对SDR技术、术中神经电生理监测技术、手术前后下肢运动功能评价手段以及手术疗效和术后并发症进行综述，以促进SDR的临床应用。

关键词: 脑性瘫痪, 痉挛, 脊髓切断术, 神经电生理监测, 综述

Ke PU, Xin LIU, Guo-qing HAN, Miao-miao YIN, Qing-guo LI. Research progress on selective dorsal rhizotomy and related techniques in the treatment of lower limb spasm[J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2023, 23(12): 1134-1138.

蒲珂, 刘鑫, 韩国庆, 尹苗苗, 李庆国. 选择性脊神经背根切断术及相关技术在下肢痉挛治疗中的研究进展[J]. 中国现代神经疾病杂志, 2023, 23(12): 1134-1138.

/ / Recommend / Download Citations

URL: http://journal11.magtechjournal.com/cjcnn/EN/10.3969/j.issn.1672-6731.2023.12.014

http://journal11.magtechjournal.com/cjcnn/EN/Y2023/V23/I12/1134

References 35

1	Volpon Santos M , Carneiro VM , Oliveira PNBGC , Caldas CAT , Machado HR . Surgical results of selective dorsal rhizotomy for the treatment of spastic cerebral palsy. J Pediatr Neurosci, 2021, 16: 24- 29. doi: 10.4103/jpn.JPN_26_20
2	Vitrikas K , Dalton H , Breish D . Cerebral palsy: an overview. Am Fam Physician, 2020, 101: 213- 220.
3	Iorio-Morin C , Yap R , Dudley RWR , Poulin C , Cantin MA , Benaroch TE , Farmer JP . Selective dorsal root rhizotomy for spastic cerebral palsy: a longitudinal case-control analysis of functional outcome. Neurosurgery, 2020, 87: 186- 192. doi: 10.1093/neuros/nyz422
4	Park TS , Dobbs MB , Cho J . Evidence supporting selective dorsal rhizotomy for treatment of spastic cerebral palsy. Cureus, 2018, 10: e3466.
5	Reynolds MR , Ray WZ , Strom RG , Blackburn SL , Lee A , Park TS . Clinical outcomes after selective dorsal rhizotomy in an adult population. World Neurosurg, 2011, 75: 138- 144. doi: 10.1016/j.wneu.2010.09.010
6	Sang L , Zheng Z , Xie F , Ge LS , Zhou F , Ma YS . Clinical analysis of postoperative complications of lumbosacral selective posterior rhizotomy for the treatment of spastic cerebral palsy. Zhonghua Shen Jing Wai Ke Za Zhi, 2019, 35: 16- 19.
	桑林, 郑重, 解飞, 葛留锁, 周峰, 马延山. 痉挛型脑性瘫痪患者腰骶段选择性脊神经后根部分切断术的并发症分析. 中华神经外科杂志, 2019, 35: 16- 19.
7	Peacock WJ , Arens LJ , Berman B . Cerebral palsy spasticity: selective posterior rhizotomy. Pediatr Neurosci, 1987, 13: 61- 66. doi: 10.1159/000120302
8	Park TS , Johnston JM . Surgical techniques of selective dorsal rhizotomy for spastic cerebral palsy: technical note. Neurosurg Focus, 2006, 21: e7. doi: 10.3171/foc.2006.21.2.8
9	Sindou M , Joud A , Georgoulis G . How I do it: selective dorsal rhizotomy, using interlaminar approaches, for spastic diplegia/quadriplegia in children with cerebral palsy. Acta Neurochir (Wien), 2021, 163: 2845- 2851. doi: 10.1007/s00701-021-04770-x
10	Bales J , Apkon S , Osorio M , Kinney G , Robison RA , Hooper E , Browd S . Infra-conus single-level laminectomy for selective dorsal rhizotomy: technical advance. Pediatr Neurosurg, 2016, 51: 284- 291. doi: 10.1159/000448046
11	Hastings S , Zhong H , Feinstein R , Zelczer G , Mitrovich C , Gad P , Edgerton VR . A pilot study combining noninvasive spinal neuromodulation and activity-based neurorehabilitation therapy in children with cerebral palsy. Nat Commun, 2022, 13: 5660. doi: 10.1038/s41467-022-33208-w
12	Georgoulis G , Brînzeu A , Sindou M . Dorsal rhizotomy for children with spastic diplegia of cerebral palsy origin: usefulness of intraoperative monitoring. J Neurosurg Pediatr, 2018, 22: 89- 101. doi: 10.3171/2018.1.PEDS17577
13	Xiao B , Constatntini S . The role of intra-operative neuroelectrophysiological monitoring in single-level approach selective dorsal rhizotomy. Childs Nerv Syst, 2020, 36: 1925- 1933. doi: 10.1007/s00381-019-04408-5
14	De Vloo P , Huttunen TJ , Forte D , Jankovic I , Lee A , Hair M , Cawker S , Chugh D , Carr L , Crowe BHA , Pitt M , Aquilina K . Intraoperative electrophysiology during single-level selective dorsal rhizotomy: technique, stimulation threshold, and response data in a series of 145 patients. J Neurosurg Pediatr, 2020, 28: 1- 10.
15	D'Aquino D , Moussa AA , Ammar A , Ingale H , Vloeberghs M . Selective dorsal rhizotomy for the treatment of severe spastic cerebral palsy: efficacy and therapeutic durability in GMFCS grade Ⅳ and Ⅴ children. Acta Neurochir (Wien), 2018, 160: 811- 821. doi: 10.1007/s00701-017-3349-z
16	Zhan Q , Tang L , Wang Y , Xiao B , Shen M , Jiang S , Mei R , Lyu Z . Feasibility and effectiveness of a newly modified protocol-guided selective dorsal rhizotomy via single-level approach to treat spastic hemiplegia in pediatric cases with cerebral palsy. Childs Nerv Syst, 2019, 35: 2171- 2178. doi: 10.1007/s00381-019-04194-0
17	Zhan Q , Yu X , Jiang W , Shen M , Jiang S , Mei R , Wang J , Xiao B . Whether the newly modified rhizotomy protocol is applicable to guide single-level approach SDR to treat spastic quadriplegia and diplegia in pediatric patients with cerebral palsy?. Childs Nerv Syst, 2020, 36: 1935- 1943. doi: 10.1007/s00381-019-04368-w
18	Russell DJ , Rosenbaum PL , Cadman DT , Gowland C , Hardy S , Jarvis S . The gross motor function measure: a means to evaluate the effects of physical therapy. Dev Med Child Neurol, 1989, 31: 341- 352. doi: 10.1111/j.1469-8749.1989.tb04003.x
19	Russell DJ , Avery LM , Rosenbaum PL , Raina PS , Walter SD , Palisano RJ . Improved scaling of the gross motor function measure for children with cerebral palsy: evidence of reliability and validity. Phys Ther, 2000, 80: 873- 885. doi: 10.1093/ptj/80.9.873
20	Abou Al-Shaar H , Imtiaz MT , Alhalabi H , Sabbagh AJ . Selective dorsal rhizotomy: a multidisciplinary approach to treating spastic diplegia. Asian J Neurosurg, 2017, 12: 454- 465. doi: 10.4103/1793-5482.175625
21	Oudenhoven LM , van der Krogt MM , Romei M , van Schie PEM , van de Pol LA , van Ouwerkerk WJR , Harlaar J , Buizer AI . Factors associated with long-term improvement of gait after selective dorsal rhizotomy. Arch Phys Med Rehabil, 2019, 100: 474- 480. doi: 10.1016/j.apmr.2018.06.016
22	Roberts A , Stewart C , Freeman R . Gait analysis to guide a selective dorsal rhizotomy program. Gait Posture, 2015, 42: 16- 22. doi: 10.1016/j.gaitpost.2015.04.004
23	Schwartz MH , Rozumalski A , Steele KM . Dynamic control is associated with treatment outcomes for children with cerebral palsy. Dev Med Child Neurol, 2016, 58: 1139- 1145. doi: 10.1111/dmcn.13126
24	Tu A , Steinbok P . Long term outcome of selective dorsal rhizotomy for the management of childhood spasticity-functional improvement and complications. Childs Nerv Syst, 2020, 36: 1985- 1994.
25	Park TS , Liu JL , Edwards C , Walter DM . Functional outcomes of childhood selective dorsal rhizotomy 20 to 28 years later. Cureus, 2017, 9: e1256.
26	Pennington M , Summers J , Coker B , Eddy S , Kartha MR , Edwards K , Freeman R , Goodden J , Powell H , Verity C , Peacock JL . Selective dorsal rhizotomy; evidence on cost-effectiveness from England. PLoS One, 2020, 15: e0236783. doi: 10.1371/journal.pone.0236783
27	Funk JF , Panthen A , Bakir MS , Gruschke F , Sarpong A , Wagner C , Lebek S , Haberl EJ . Predictors for the benefit of selective dorsal rhizotomy. Res Dev Disabil, 2015, 37: 127- 134.
28	Buizer AI , van Schie PEM , Bolster EAM , van Ouwerkerk WJ , Strijers RL , van de Pol LA , Stadhouder A , Becher JG , Vermeulen RJ . Effect of selective dorsal rhizotomy on daily care and comfort in non-walking children and adolescents with severe spasticity. Eur J Paediatr Neurol, 2017, 21: 350- 357.
29	Kakodkar P , Fallah A , Tu A . Systematic review on use and efficacy of selective dorsal rhizotomy (SDR) for the management of spasticity in non-pediatric patients. Childs Nerv Syst, 2021, 37: 1837- 1847.
30	Gump WC , Mutchnick IS , Moriarty TM . Selective dorsal rhizotomy for spasticity not associated with cerebral palsy: reconsideration of surgical inclusion criteria. Neurosurg Focus, 2013, 35: E6.
31	Agrawal M , Samala R , Doddamani R , Agrawal D , Chandra SP . The role of selective dorsal rhizotomy in the management of post-traumatic spasticity: systematic review. Neurosurg Rev, 2021, 44: 213- 221.
32	Wang MX , Zong Q , Han GL , Xu DY , Gao XQ , Luan H , Li C , Zhang L . The efficacy of selective peripheral neurotomy in treating cerebral spasticity in adults. Zhonghua Shen Jing Wai Ke Za Zhi, 2019, 35: 43- 46.
	王明鑫, 宗强, 韩光良, 徐冬云, 高秀琴, 栾红, 李超, 张黎. 周围神经选择性部分切断术治疗成人脑源性痉挛状态. 中华神经外科杂志, 2019, 35: 43- 46.
33	Tian XY , Yu YB , Zhang L , Sun LG , Guo WJ , Xue YH . Application of endoscopic selective posterior rhizotomy in the treatment of limb spasticity following brain injury. Zhonghua Shen Jing Wai Ke Za Zhi, 2019, 35: 343- 346.
	田向阳, 于炎冰, 张岭, 孙来广, 郭武军, 薛艺红. 神经内镜下选择性脊神经后根切断术治疗脑损伤后肢体肌痉挛. 中华神经外科杂志, 2019, 35: 343- 346.
34	Veerbeek BE , Lamberts RP , Fieggen AG , Mankahla N , de Villiers RVP , Botha E , Langerak NG . A long-term follow-up study of spinal abnormalities and pain in adults with cerebral palsy and spastic diplegia more than 25 years after selective dorsal rhizotomy. J Neurosurg Spine, 2020, 34: 228- 235.
35	Wheelwright M , Selvey PJ , Steinbok P , Singhal A , Ibrahim G , Fallah A , Weil AG , Halvorson K , Tu A . Systematic review of spinal deformities following multi-level selective dorsal rhizotomy. Childs Nerv Syst, 2020, 36: 1025- 1035.

[1]	Ming-sheng LIU. Application of peripheral nerve and muscle ultrasound in neuromuscular diseases [J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2023, 23(9): 771-774.
[2]	Ya-lan WAN, Jia-xi YU, Jian-wen DENG, Dao-jun HONG, Zhao-xia WANG. Clinical and mechanism research progress on short tandem repeat-related neuromuscular diseases [J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2023, 23(9): 775-781.
[3]	Yi LI, Yun JIANG, Jing HE, Hui-yan YU, Xiang WANG, Yin-hong LIU. Analysis of clinical and electrophysiological charactertics of hereditary neuropathy with liability to pressure palsies [J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2023, 23(9): 807-812.
[4]	Shu-hua LI, Wen SU, Hai-bo CHEN. Diagnosis and treatment of functional dystonia [J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2023, 23(9): 844-849.
[5]	Ya-wei WANG, Feng TIAN. Research progress on the difference of atherosclerosis between different sexes [J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2023, 23(9): 864-871.
[6]	Rong XUE, Xuan ZHANG. Impact of sleep disorders on cerebrovascular diseases [J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2023, 23(8): 659-662.
[7]	Peng ZHANG, Tao CHEN, Li XU. Key techniques in cognitive behavioral therapy for insomnia in adults and recommendations for workflow improvements [J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2023, 23(8): 663-667.
[8]	Xuan ZHANG, Rong XUE. Progress on biomarkers of idiopathic rapid eye movement sleep behavior disorder conversion to neurodegenerative diseases [J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2023, 23(8): 668-673.
[9]	Yin LIU, Yong-hong TANG, Jin-xia ZHAI, Yuan QIU. Research progress of chronic low-grade inflammation and sleep disorders [J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2023, 23(8): 674-677.
[10]	Jie-yang YU, Ya-nan ZHANG, Hui-min LI, Zhen-can HUANG, Wan-ru LI, Zan WANG. Progress on narcolepsy and anxiety [J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2023, 23(8): 678-682.
[11]	Cheng-xin KU, Li-ying DENG, Liang XIE. Progress on excessive daytime sleepiness secondary to ischemic stroke [J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2023, 23(8): 683-686.
[12]	Jia-feng JIANG, Lian-hua ZHAO, Wei ZHAO. Role of melatonin in pathological injury mechanism of Alzheimer's disease [J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2023, 23(8): 687-692.
[13]	Pei HUANG, Gang WANG. Progress on diagnosis and treatment of functional parkinsonism [J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2023, 23(8): 738-741.
[14]	Tao HONG, Bin TANG. How to become an excellent skull base surgeon [J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2023, 23(7): 571-574.
[15]	Qing-shuo ZHANG, Dan-dan SONG, Shi-yue ZHOU, Jin-lu ZHANG, Xiao-xu HAN, Shun-liang XU. Diagnosis and treatment of functional gait disorder [J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2023, 23(7): 604-609.

Please choose a citation manager

Content to export