Effects of Selective Dorsal Rhizotomy (SDR) on Premature Aging

Описание: Unlock the Secret to Reversing Premature Aging with Selective Dorsal Rhizotomy (SDR)! Discover the overwhelming evidence supporting SDR as a well-established treatment option for spastic cerebral palsy (CP) management. This review analyzed 85 outcome studies from 12 countries and found that SDR improves gait, functional independence, self-care, and quality of life for both children and adults. Click to learn more about the clinical experience of the senior author and how SDR can prevent or reverse premature aging in adolescents and adults with spastic diplegia.

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Read the article: https://www.cureus.com/articles/13579...

Title: Evidence Supporting Selective Dorsal Rhizotomy for Treatment of Spastic Cerebral Palsy

Authors: TS Park • Matthew B. Dobbs • Junsang Cho

Abstract: The objective of this review is to analyze the evidence supporting selective dorsal rhizotomy (SDR) for the treatment of spastic cerebral palsy (CP). We reviewed 85 outcome studies from 12 countries between 1990 and 2017. The published results are overwhelmingly supportive of SDR, and 39 studies form a basis for this review. Also included is some of the clinical experience of the senior author.

The results show that SDR plus postoperative physiotherapy (PT) improved gait, functional independence, and self-care in children with spastic diplegia. In adults with a follow-up of 20 to 28 years, the early improvements after childhood SDR were sustained and improved quality of life. Furthermore, majority of the adults who underwent SDR as children would recommend SDR to others. On the clinical side, while SDRs through multilevel laminectomies or laminoplasty were associated with spinal deformities (i.e., scoliosis, hyperlordosis, kyphosis, spondylolisthesis, spondylolysis, and nonhealing of laminoplasty), SDRs through a single level laminectomy prevented SDR-related spinal problems. The outcomes of SDR specific to spastic quadriplegia require further investigation because of the relatively small patient population with quadriplegia. Lastly, we found that SDR can prevent or reverse premature aging in adolescents and adults with spastic diplegia. In conclusion, the evidence supporting the efficacy of SDR is strong, and SDR is a well-established option for spasticity management in spastic CP.