Surgical treatment of XXXX by selective posterior rhizotomy: 30 years experience.

@entity1 @entity1494 @entity29552 @entity16 @entity508 @entity2473 @entity158
BACKGROUND: Spasticity is a common @entity16 with adverse effects on the @entity1 's function. Conservative management is unsuccessful in a significant proportion of @entity1 and neurosurgical intervention should be considered. The mainstay of surgical treatment of @entity508 is selective posterior rhizotomy, i.e., section of sensory nerve roots of the cauda equina. OBJECTIVE: To report our experience with selective posterior rhizotomy in the treatment of @entity508 . METHODS: We retrospectively reviewed our experience in 154 @entity1 who underwent @entity29552 during 30 years. The indication for surgery was @entity508 that significantly hindered the @entity1 's function or care and was resistant to conservative treatment. All @entity1 were evaluated for @entity508 in the lower and upper limbs, the presence or absence of @entity158 , and sphincter disturbances. The decision as to which roots to be sectioned, and to what extent, was based mainly on clinical muscle testing. RESULTS: Reduction of @entity508 in the lower limbs was obtained in every case, with improvement in movements in 86% of cases. Painful @entity2473 were alleviated in 80% of cases. @entity1494 was observed in 42%. A minority of the @entity1 also showed improvement in speech and cognitive performance. There was no perioperative mortality or major complications. CONCLUSION: @entity29552 is a safe and effective method for the treatment of @entity508 with long-lasting beneficial effects. We suggest that this method be considered more frequently for @entity1 with @entity508 that interferes with their quality of life.
