The role of selective dorsal rhizotomy in the management of post-traumatic spasticity: systematic review

Neurosurgical Review volume 44, pages213–221(2021)Cite this article

Abstract

There is a huge burden of patients suffering from trauma-induced disabling spasticity the world over. There are surprisingly few modalities of treatment with a sustained, proven benefit which can be offered to such patients. Selective dorsal rhizotomy (SDR) has been used with proven success in treating spasticity in patients of cerebral palsy, both in children and in adults. The rationale behind using the procedure in post-traumatic cases is reviewed, along with the cases reported till date in the world literature. The indications, surgical procedure used, outcome and complications, if any, are described. Most of the cases described in the literature have shown a favourable outcome with minimal complications. SDR can become an important tool in the armamentarium of the clinician treating this condition.

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  1. Department of Neurosurgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India

    Mohit Agrawal, Raghu Samala, Ramesh Doddamani, Deepak Agrawal & Sarat P. Chandra

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  1. Mohit Agrawal
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  2. Raghu Samala
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Correspondence to Ramesh Doddamani.

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Agrawal, M., Samala, R., Doddamani, R. et al. The role of selective dorsal rhizotomy in the management of post-traumatic spasticity: systematic review. Neurosurg Rev 44, 213–221 (2021). https://doi.org/10.1007/s10143-020-01255-w

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Keywords

  • Selective dorsal rhizotomy
  • Post-traumatic spasticity
  • Review