Assessment Of the Clinical Outcomes of Selective Dorsal Rhizotomy in Treatment of Children with Spastic Cerebral Palsy
Aref, M., Galhoum, A., Awad, T., Abu Elfadle, A., Nada, A. (2025). Assessment Of the Clinical Outcomes of Selective Dorsal Rhizotomy in Treatment of Children with Spastic Cerebral Palsy. EKB Journal Management System, 23(23), 59-71. doi: 10.21608/muj.2025.368654.1214
Muhammad Nagi Aref; Ayman Galhoum; Tariq ElEmam ElShafey Awad; Amr Abu Elfadle; Ahmed Sameh Nada. "Assessment Of the Clinical Outcomes of Selective Dorsal Rhizotomy in Treatment of Children with Spastic Cerebral Palsy". EKB Journal Management System, 23, 23, 2025, 59-71. doi: 10.21608/muj.2025.368654.1214
Aref, M., Galhoum, A., Awad, T., Abu Elfadle, A., Nada, A. (2025). 'Assessment Of the Clinical Outcomes of Selective Dorsal Rhizotomy in Treatment of Children with Spastic Cerebral Palsy', EKB Journal Management System, 23(23), pp. 59-71. doi: 10.21608/muj.2025.368654.1214
Aref, M., Galhoum, A., Awad, T., Abu Elfadle, A., Nada, A. Assessment Of the Clinical Outcomes of Selective Dorsal Rhizotomy in Treatment of Children with Spastic Cerebral Palsy. EKB Journal Management System, 2025; 23(23): 59-71. doi: 10.21608/muj.2025.368654.1214

Assessment Of the Clinical Outcomes of Selective Dorsal Rhizotomy in Treatment of Children with Spastic Cerebral Palsy

Medicine Updates
Volume 23, Issue 23, October 2025, Page 59-71  XML PDF (853.25 K)
Document Type: Original Article
DOI: 10.21608/muj.2025.368654.1214
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Authors
Muhammad Nagi Aref email 1; Ayman Galhoum2; Tariq ElEmam ElShafey Awad3; Amr Abu Elfadle4; Ahmed Sameh Nada5
1Neurosurgery Department, faculty of Medicine, Portsaid University, Port Said, Egypt
2Professor of Neurosurgery at Neurosurgery Department, Faculty of Medicine, Portsaid University, Port Said ,Egypt.
3Professor of Neurosurgery at Neurosurgery Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
4Assistant Professor of Neurosurgery at Neurosurgery Department, Faculty of Medicine, Portsaid University, Port Said, Egypt.
5Lecturer of Neurosurgery & Neuro-interventional Surgery at Neurosurgery Department, Faculty of Medicine, Portsaid University, Port Said, Egypt.
Abstract
Background: Spastic cerebral palsy is a prevalent motor disorder that impacts mobility and quality of life. Treatment options, including physiotherapy, medications, and surgery, aim to alleviate spasticity and improve motor function. Selective dorsal rhizotomy is a surgical procedure for children with diplegic spastic cerebral palsy, which reduces spasticity by cutting specific dorsal roots. Effective case selection is crucial for achieving favorable outcomes, as selective dorsal rhizotomy can significantly improve children's quality of life.
Objective: This article aims to evaluate the clinical motor outcome in spastic cerebral palsy children who are treated with selective dorsal rhizotomy.
Methods: In this study, twenty patients underwent selective dorsal rhizotomy. Patient outcomes were assessed preoperatively and compared postoperatively using clinical evaluations of muscle tone (Ashworth scale) along with subjective functional assessments via the Gross Motor Function Classification System.
Results: The majority of patients showed significant improvements following selective dorsal rhizotomy. minor postoperative complications observed and most of them were treated conservatively, and most of patients maintained positive outcomes during follow-up.
Conclusion: Selective dorsal rhizotomy is a safe and effective treatment for children with spastic cerebral palsy that requires a multidisciplinary team for optimal results. Success factors include careful case selection, comprehensive care planning, complication management, and family education on follow-up and physiotherapy.
Keywords
Cerebral palsy; selective dorsal rhizotomy; spasticity
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