Spasticity represents the most handicapping sequelae of cerebral palsy in children. In this study, 28 children with spastic cerebral palsy were treated over the last 4 years by microsurgical selective peripheral neurotomy: 28 times the posterior tibial nerve for spastic foot deformity, 3 times the ulnar and median nerves for spastic flexion of wrist and fingers, 2 times the sciatic nerve for spastic knee flexion associated with spastic foot deformity and 3 times obturator nerves for spastic adductors. Results on spasticity with follow-up ranging from 3 to 48 months were as follows: spastic foot deformity was corrected in all patients with pure spasticity, 2 out of the 3 children with ulnar and median neurotomy improved, knee flexion and hip adduction were improved in the other 5 patients. Selective peripheral neurotomy is an effective procedure in the treatment of segmental harmful spasticity after failure of a well-conducted conservative treatment associating physiotherapy and antispasmodic medications. It must be performed before the fixed deformities and other orthopedic complications arise.
%0 Journal Article
%1 Msaddi1997
%A Msaddi, A. K.
%A Mazroue, A. R.
%A Shahwan, S.
%A al Amri, N.
%A Dubayan, N.
%A Livingston, D.
%A Moutaery, K. R.
%D 1997
%J Stereotact Funct Neurosurg
%K Adult; Cerebral Palsy; Child; Female; Foot Deformities; Humans; Male; Median Nerve; Microsurgery; Muscle Denervation; Spasticity; Obturator Peripheral Nerves; Sciatic Tibial Ulnar Nerve
%N 1-4 Pt 2
%P 251--258
%T Microsurgical selective peripheral neurotomy in the treatment of spasticity in cerebral-palsy children.
%V 69
%X Spasticity represents the most handicapping sequelae of cerebral palsy in children. In this study, 28 children with spastic cerebral palsy were treated over the last 4 years by microsurgical selective peripheral neurotomy: 28 times the posterior tibial nerve for spastic foot deformity, 3 times the ulnar and median nerves for spastic flexion of wrist and fingers, 2 times the sciatic nerve for spastic knee flexion associated with spastic foot deformity and 3 times obturator nerves for spastic adductors. Results on spasticity with follow-up ranging from 3 to 48 months were as follows: spastic foot deformity was corrected in all patients with pure spasticity, 2 out of the 3 children with ulnar and median neurotomy improved, knee flexion and hip adduction were improved in the other 5 patients. Selective peripheral neurotomy is an effective procedure in the treatment of segmental harmful spasticity after failure of a well-conducted conservative treatment associating physiotherapy and antispasmodic medications. It must be performed before the fixed deformities and other orthopedic complications arise.
@article{Msaddi1997,
abstract = {Spasticity represents the most handicapping sequelae of cerebral palsy in children. In this study, 28 children with spastic cerebral palsy were treated over the last 4 years by microsurgical selective peripheral neurotomy: 28 times the posterior tibial nerve for spastic foot deformity, 3 times the ulnar and median nerves for spastic flexion of wrist and fingers, 2 times the sciatic nerve for spastic knee flexion associated with spastic foot deformity and 3 times obturator nerves for spastic adductors. Results on spasticity with follow-up ranging from 3 to 48 months were as follows: spastic foot deformity was corrected in all patients with pure spasticity, 2 out of the 3 children with ulnar and median neurotomy improved, knee flexion and hip adduction were improved in the other 5 patients. Selective peripheral neurotomy is an effective procedure in the treatment of segmental harmful spasticity after failure of a well-conducted conservative treatment associating physiotherapy and antispasmodic medications. It must be performed before the fixed deformities and other orthopedic complications arise.},
added-at = {2014-07-19T20:49:09.000+0200},
author = {Msaddi, A. K. and Mazroue, A. R. and Shahwan, S. and al Amri, N. and Dubayan, N. and Livingston, D. and Moutaery, K. R.},
biburl = {https://www.bibsonomy.org/bibtex/2e49a7cadb0c1e6b600244867beab5d41/ar0berts},
groups = {public},
interhash = {bee50c1702a9b72f18567b5e7c1b74c1},
intrahash = {e49a7cadb0c1e6b600244867beab5d41},
journal = {Stereotact Funct Neurosurg},
keywords = {Adult; Cerebral Palsy; Child; Female; Foot Deformities; Humans; Male; Median Nerve; Microsurgery; Muscle Denervation; Spasticity; Obturator Peripheral Nerves; Sciatic Tibial Ulnar Nerve},
number = {1-4 Pt 2},
pages = {251--258},
pmid = {9711763},
timestamp = {2014-07-19T20:49:09.000+0200},
title = {Microsurgical selective peripheral neurotomy in the treatment of spasticity in cerebral-palsy children.},
username = {ar0berts},
volume = 69,
year = 1997
}