Long-term effects of selective dorsal rhizotomy in children with cerebral palsy: A systematic review
Developmental Medicine & Child Neurology Jul 29, 2019
Tedroff K, et al. - In children with cerebral palsy (CP), researchers assessed the long-term impacts of selective dorsal rhizotomy (SDR) 10 years or more following the procedure and complications observed at any point following SDR. In this assessment, 16 of the 199 relevant studies identified were included. According to this systematic review, available studies supply inconclusive evidence on functional outcomes 10 years after selective dorsal rhizotomy. There is no documented functional improvement of SDR over routine treatment. In addition, SDR's long-term spasticity reduction impacts are uncertain, with many studies reporting an elevated level of additional spasticity therapy. More long-term follow-up using robust scientific protocols is needed before it is possible to decide whether or not to recommend using SDR as routine therapy for children with CP.
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