Zusammenfassung
Die selektive dorsale Rhizotomie (SDR) ist ein operatives (neurochirurgisches) Verfahren zur Spastikreduktion zerebralen Ursprungs, um Mobilität und Autonomie zu verbessern. Hauptsächlich wird diese Technik bei Kindern mit bilateraler Zerebralparese angewendet, indem selektiv afferente Nervenwurzeln, die abnormale Signale zu den Efferenzen der Muskeln abgeben, präganglionär partiell durchtrennt werden. Voraussetzung zur Durchführung von SDR-Operationen ist ein interdisziplinäres Team von erfahrenen Neuropädiatern, Kinderorthopäden und Pädiatrischen Neurochirurgen, die gemeinsam die Indikation zur Operation stellen. Von entscheidender Bedeutung ist auch das Team von Physiotherapeuten, das das Kind prä-, intra- und postoperativ betreut. Es sollte ein Gesamtkonzept nicht nur für den akuten stationären Aufenthalt vorhanden sein, sondern auch für die weitere postoperative rehabilitative und ambulante Phase. Dies ist letztlich entscheidend für das weitere Outcome des Kindes.
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Bächli, H., Lütschg, J., Dreher, T. (2018). Spastik bei Kindern: Selektive dorsale Rhizotomie. In: Bächli, H., Lütschg, J., Messing-Jünger, M. (eds) Pädiatrische Neurochirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48700-6_50
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DOI: https://doi.org/10.1007/978-3-662-48700-6_50
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