Abstract
In the management of spasticity in children with cerebral
palsy, some surgical procedures are available.
For patients with bilateral spastic paresis, with mild
to moderate motor impairment (Gross Motor Functioning
Classification System (GMFCS) score II and
III), selective dorsal rhizotomy (SDR) can be considered
to improve mobility in ambulant patients. SDR
involves sectioning (cutting) of some of the lumbar
sensory nerve fibers. For children who are severely
affected (GMFCS III, IV and V), an intrathecal baclofen
pump (ITB) can be effective. Implantation of a
pump for baclofen administration enables continuous
infusion into the spinal subarachnoid space.
Both the assessment and treatment of SDR and ITB
requires an extensive multidisciplinary approach, in
order to achieve the best results for patients and
their parents/caregivers
palsy, some surgical procedures are available.
For patients with bilateral spastic paresis, with mild
to moderate motor impairment (Gross Motor Functioning
Classification System (GMFCS) score II and
III), selective dorsal rhizotomy (SDR) can be considered
to improve mobility in ambulant patients. SDR
involves sectioning (cutting) of some of the lumbar
sensory nerve fibers. For children who are severely
affected (GMFCS III, IV and V), an intrathecal baclofen
pump (ITB) can be effective. Implantation of a
pump for baclofen administration enables continuous
infusion into the spinal subarachnoid space.
Both the assessment and treatment of SDR and ITB
requires an extensive multidisciplinary approach, in
order to achieve the best results for patients and
their parents/caregivers
| Translated title of the contribution | Intrathecal baclofen pump and selective dorsal rhizotomy in the management of spasticity in children: an overview |
|---|---|
| Original language | Dutch |
| Pages (from-to) | 212 |
| Number of pages | 6 |
| Journal | Tijdschrift voor neurologie en neurochirurgie |
| Publication status | Published - Dec 2019 |