A Clinical Report of Long Term Outcomes Following Selective Posterior Rhizotomy:

Abstract

A retrospective clinical follow-up was done of 14 children with cerebral palsy between 14-59 months after selective posterior rhizotomy (SPR). Three children had regressed and two had made minimal, seven moderate, and two good progress in functional mobility skills. Hypesthesia, paresthesia, and muscle spasms were present in more then 50% of the cases. Four children had bladder problems and three had developed orthopedic complications. Clinical outcomes are discussed in relation to conflicting viewpoints on the rationale for SPR and functionally relevant methods are proposed for prospective assessment of children with cerebral palsy before and after SPR.