Multimodality Intraoperative Neurophysiological Monitoring (IONM) with Selective Dorsal Root Rhizotomy For patients with Cerebral Palsy

Authors

DOI:

https://doi.org/10.5281/zenodo.13927264

Keywords:

Cerebral palsy, spine, IONM, SSEP, EMG, TCeMEP, TOF, dorsal root rhizotomy

Abstract

Selective Dorsal Root Rhizotomy (SDR) is a neurosurgical procedure aimed at alleviating spasticity in cerebral palsy patients by selectively severing sensory nerve rootlets in the spinal cord. This process helps reduce spastic muscle activity while preserving motor function. The use of multimodal intraoperative neurophysiological monitoring (IONM) techniques—such as Somatosensory Evoked Potentials (SSEP), Transcranial Motor Evoked Potentials (TCeMEP), and Electromyography (EMG)—has significantly enhanced surgical precision, leading to improved outcomes. Long-term studies report enhanced motor function and quality of life, with reduced reliance on further treatments, positioning SDR as a valuable option for managing spastic cerebral palsy. This literature review explores the evolution of SDR, its clinical effectiveness, patient selection criteria, and long-term outcomes for spasticity management in CP. The review consolidates findings from various studies to assess the impact of SDR on motor function, complications, and quality of life while comparing it with alternative spasticity management options. By synthesizing the current literature, this review aims to offer a comprehensive perspective on the role of SDR in enhancing functional outcomes for children and adults with CP.

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Published

2024-10-14

How to Cite

Kamran, N., Khan, M. I., Hasnain, S., Jahangiri, R. H., Qayyum, A., Muhammad, A., & Jahangiri, F. R. (2024). Multimodality Intraoperative Neurophysiological Monitoring (IONM) with Selective Dorsal Root Rhizotomy For patients with Cerebral Palsy. J of Neurophysiological Monitoring, 2(3), 31–44. https://doi.org/10.5281/zenodo.13927264

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