Selective dorsal rhizotomy after baclofen intrathecal pump removal: a single-center experience and review of the literature.
Ashworth scale
ITB pump removal
SDR
Spasticity
Journal
Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
ISSN: 1433-0350
Titre abrégé: Childs Nerv Syst
Pays: Germany
ID NLM: 8503227
Informations de publication
Date de publication:
24 Sep 2024
24 Sep 2024
Historique:
received:
23
06
2024
accepted:
05
09
2024
medline:
25
9
2024
pubmed:
25
9
2024
entrez:
24
9
2024
Statut:
aheadofprint
Résumé
Selective dorsal rhizotomy (SDR) and intrathecal baclofen (ITB) pump placement are two surgical options in children affected by spasticity secondary to cerebral palsy A retrospective single-center study has screened all children diagnosed with spastic tetraparesis who underwent in the last 10 years SDR and had previously ITB pump implanted. A cohort of six patients was pooled out. Furthermore, pertinent literature has been reviewed. Indication for pump removal was pump pocket infection, parents' decision, and poor response to ITB. Patients' amount of lifetime with the pump implanted has been 6.9 years. The preoperative and postoperative Ashworth scores were statistically different in both procedures (p = 0.005 and p = 0.,02). Only two studies investigated the pediatric population undergoing SDR in the occurrence of ITB pump removal. Authors are offering SDR to all children, regardless of GMFCS groups and previous ITB pump placement. In conclusion, SDR represents a valid tool in neurosurgeon's hands to help ameliorate patients' long-lasting quality of life, reducing the severity of the spasticity and leading to better management by caregivers.
Identifiants
pubmed: 39317766
doi: 10.1007/s00381-024-06618-y
pii: 10.1007/s00381-024-06618-y
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Albright AL (1992) Neurosurgical treatment of spasticity: selective posterior rhizotomy and intrathecal baclofen. Stereotact Funct Neurosurg 58:3–13
doi: 10.1159/000098964
pubmed: 1439344
Grunt S, Fieggen AG, Vermeulen RJ, Becher JG, Langerak NG (2014) Selection criteria for selective dorsal rhizotomy in children with spastic cerebral palsy: a systematic review of the literature. Develop Med Child Neuro 56:302–312. https://doi.org/10.1111/dmcn.12277
doi: 10.1111/dmcn.12277
Gump WC, Mutchnick IS, Moriarty TM (2013) Selective dorsal rhizotomy for spasticity not associated with cerebral palsy: reconsideration of surgical inclusion criteria. Neurosurg Focus 35:E6
doi: 10.3171/2013.8.FOCUS13294
pubmed: 24175866
Mansur A et al (2022) Comparison of intrathecal baclofen pump insertion and selective dorsal rhizotomy for nonambulatory children with predominantly spastic cerebral palsy. J Neurosurg Pediatr 30:217–223
doi: 10.3171/2022.4.PEDS21576
pubmed: 35901772
Wood E, Rosenbaum P (2000) The gross motor function classification system for cerebral palsy: a study of reliability and stability over time. Dev Med Child Neurol 42:292–296
doi: 10.1111/j.1469-8749.2000.tb00093.x
pubmed: 10855648
Enslin JMN, Langerak NG, Fieggen AG (2019) The evolution of selective dorsal rhizotomy for the management of spasticity. Neurotherapeutics 16:3–8. https://doi.org/10.1007/s13311-018-00690-4
doi: 10.1007/s13311-018-00690-4
pubmed: 30460456
Steinbok P (2007) Selective dorsal rhizotomy for spastic cerebral palsy: a review. Childs Nerv Syst 23:981–990. https://doi.org/10.1007/s00381-007-0379-5
doi: 10.1007/s00381-007-0379-5
pubmed: 17551739
Novak I et al (2013) A systematic review of interventions for children with cerebral palsy: state of the evidence. Develop Med Child Neuro 55:885–910. https://doi.org/10.1111/dmcn.12246
doi: 10.1111/dmcn.12246
Kan P et al (2008) Surgical treatment of spasticity in children: comparison of selective dorsal rhizotomy and intrathecal baclofen pump implantation. Childs Nerv Syst 24:239–243
doi: 10.1007/s00381-007-0457-8
pubmed: 17805547
Nordmark E et al (2008) Long-term outcomes five years after selective dorsal rhizotomy. BMC Pediatr 8:1–5
doi: 10.1186/1471-2431-8-54
Gillespie CS et al (2024) Selective dorsal rhizotomy in non-ambulant children with cerebral palsy: a multi-center prospective study. Childs Nerv Syst 40:171–180
doi: 10.1007/s00381-023-06062-4
pubmed: 37439914
Dudley RWR et al (2013) Long-term functional benefits of selective dorsal rhizotomy for spastic cerebral palsy: clinical article. J Neurosurg Pediatr 12:142–150
doi: 10.3171/2013.4.PEDS12539
pubmed: 23713680
Park T, Miller BA, Cho J (2018) Simultaneous selective dorsal rhizotomy and baclofen pump removal improve ambulation in patients with spastic cerebral palsy. Cureus https://doi.org/10.7759/cureus.2791
Ingale H, Ughratdar I, Muquit S, Moussa AA, Vloeberghs MH (2016) Selective dorsal rhizotomy as an alternative to intrathecal baclofen pump replacement in GMFCS grades 4 and 5 children. Childs Nerv Syst 32:321–325
doi: 10.1007/s00381-015-2950-9
pubmed: 26552383
Morota N, Ihara S, Ogiwara H (2015) Neurosurgical management of childhood spasticity: functional posterior rhizotomy and intrathecal baclofen infusion therapy. Neurol Med Chir (Tokyo) 55:624–639
doi: 10.2176/nmc.ra.2014-0445
pubmed: 26227057
pmcid: 4628153
Ailon T et al (2015) Long-term outcome after selective dorsal rhizotomy in children with spastic cerebral palsy. Childs Nerv Syst 31:415–423
doi: 10.1007/s00381-015-2614-9
pubmed: 25586074
Pasquali C, Deletis V, Sala F (2020) Selective dorsal rhizotomy: functional anatomy of the conus-cauda and essentials of intraoperative neurophysiology. Childs Nerv Syst 36:1907–1918
doi: 10.1007/s00381-020-04746-9
pubmed: 32638074
Buizer AI et al (2017) Effect of selective dorsal rhizotomy on daily care and comfort in non-walking children and adolescents with severe spasticity. Eur J Paediatr Neurol 21:350–357
doi: 10.1016/j.ejpn.2016.09.006
pubmed: 27908676
Chiu PKF et al (2014) Does selective dorsal rhizotomy improve bladder function in children with cerebral palsy? Int Urol Nephrol 46:1929–1933
doi: 10.1007/s11255-014-0770-6
pubmed: 24973204
Kim DS, Choi JU, Yang KH, Park C. Il (2001) Selective posterior rhizotomy in children with cerebral palsy: a 10-year experience. Childs Nerv Syst 17:556–562
doi: 10.1007/s003810100465
pubmed: 11585331
Kudva A et al (2021) Intrathecal baclofen, selective dorsal rhizotomy, and extracorporeal shockwave therapy for the treatment of spasticity in cerebral palsy: a systematic review. Neurosurg Rev 44:3209–3228. https://doi.org/10.1007/s10143-021-01550-0
doi: 10.1007/s10143-021-01550-0
pubmed: 33871733