뇌성마비환자의 강직성 하지마비에서 선택적 척수신경후근 절단술
Selective Posterior Rhizotomy in the Cerebral Palsy Spasticity
소속 상세정보
최중언
윤수한/김은영/김선호/박창일
KMID : 0359819930220060715
Abstract
Selective posterior rhizotomies were carried out in 30 patients (mean age, 7 years) with cerebral palsy. The procecdure involves lumbo-sacral laminectomy with stimulation of the rootlets from the second lumbar to the second sacral posterior roots
on the
involved side. Those rootlets showing abnormal EMG response with abnormal muscle contraction were cut under the surgical microscope. The mean follow-up period was 10 months. The outcome was evaluated with the preoperative and postoperative
Peacock's
grading system. All patients became improved in spasticity and 71 (57%) patients improved in functional Peacock grading. The young and intelligent patients became more improved but, that was not significant stastically. The functional grade was
stastically significant prognostic factor : The low functional group become more improved. Longer follow-up is expected to show more improvement in functional grade.
키워드
원문 및 링크아웃 정보
등재저널 정보