Cerebral palsy surgery: Difference between revisions
Iqra Qamar (talk | contribs) Created page with "__NOTOC__ {{Cerebral palsy}} {{CMG}}; {{AE}} ==Overview== Surgical intervention is not recommended for the management of [disease name]. OR Surgery is not the first-line t..." |
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==Surgery== | ==Surgery== | ||
* | ===Selective dorsal rhizotomy=== | ||
*The main neurosurgical intervention for cerebral palsy. | |||
* | *It involves dissecting some of the afferent nerve fibers in the lumbosacral roots. | ||
* | *This results in decreasing the muscle tone by disrupting the reflex arc without affecting the motor power. | ||
* | *Selective dorsal rhizotomy is proven to improve the muscle strength and the range of motion. | ||
*In certain patients, weakness develops after performing the procedure. The weakness is thought to be unmasked by the relief of spasticity. | |||
*The | |||
{{#ev:youtube|dXRUS4L4mlw}} | |||
===Tendon lengthening or transfer=== | |||
*Tendon manipulations are done when the contracture is interfering with the movement significantly. | |||
* | *It might improve the range of motion and the ability to ambulate. | ||
* | {{#ev:youtube|dXRUS4L4mlw}} | ||
==Indications== | ==Indications== |
Revision as of 19:21, 5 October 2017
Cerebral palsy Microchapters |
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Cerebral palsy surgery On the Web |
American Roentgen Ray Society Images of Cerebral palsy surgery |
Risk calculators and risk factors for Cerebral palsy surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Surgical intervention is not recommended for the management of [disease name].
OR
Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
OR
The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
OR
The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
OR
Surgery is the mainstay of treatment for [disease or malignancy].
Surgery
Selective dorsal rhizotomy
- The main neurosurgical intervention for cerebral palsy.
- It involves dissecting some of the afferent nerve fibers in the lumbosacral roots.
- This results in decreasing the muscle tone by disrupting the reflex arc without affecting the motor power.
- Selective dorsal rhizotomy is proven to improve the muscle strength and the range of motion.
- In certain patients, weakness develops after performing the procedure. The weakness is thought to be unmasked by the relief of spasticity.
{{#ev:youtube|dXRUS4L4mlw}}
Tendon lengthening or transfer
- Tendon manipulations are done when the contracture is interfering with the movement significantly.
- It might improve the range of motion and the ability to ambulate.
{{#ev:youtube|dXRUS4L4mlw}}