期刊
PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA
卷 31, 期 1, 页码 91-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.pmr.2019.09.008
关键词
Spasticity; Dystonia; Intrathecal baclofen; Deep brain stimulation
This article overviews the surgical options for hypertonia management in cerebral palsy, both spasticity and dystonia. We review the history and use of intrathecal baclofen. We contrast its use with the indications for selective dorsal rhizotomy and review how it is the optimal technique to lower tone in the ambulatory spastic diplegic patient with cerebral palsy. This article reviews the advent of deep brain stimulation, with an emphasis on selection criteria and expected outcomes in this population. The article reviews the principles and use of selective peripheral neurotomy as it is applied to focal spasticity not requiring systemic tone reduction.
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