Intervention Protocol

Selective dorsal rhizotomy in the management of children with spastic cerebral palsy

  1. Unni G Narayanan1,*,
  2. Andrew W Howard2

Editorial Group: Cochrane Movement Disorders Group

Published Online: 21 JAN 2009

DOI: 10.1002/14651858.CD003360

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Additional Information

How to Cite

Narayanan UG, Howard AW. Selective dorsal rhizotomy in the management of children with spastic cerebral palsy (Protocol). Cochrane Database of Systematic Reviews 2001, Issue 3. Art. No.: CD003360. DOI: 10.1002/14651858.CD003360.

Author Information

  1. 1

    The Hospital for Sick Children, University of Toronto, Division of Orthopaedics, Toronto, Ontario, Canada

  2. 2

    The Hospital for Sick Children, University of Toronto, Orthopaedics, Toronto, Ontario, Canada

*Unni G Narayanan, Division of Orthopaedics, The Hospital for Sick Children, University of Toronto, 555 University Avenue, S-107, Toronto, Ontario, M5G 1X8, Canada. unni.narayanan@utoronto.ca.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 21 JAN 2009

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Abstract

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  2. Abstract

This is the protocol for a review and there is no abstract. The objectives are as follows:

The objective of this review is to determine the effectiveness of selective dorsal rhizotomy in the management of children with spastic cerebral palsy. Specifically we wish to answer the following questions:
1. Compared with physiotherapy alone, does selective dorsal rhizotomy plus physiotherapy reduce spasticity in ambulatory children with spastic diplegic cerebral palsy ?
2. Compared with physiotherapy alone, does selective dorsal rhizotomy plus physiothrapy improve motor function in ambulatory children with spastic diplegic cerebral palsy?
3. Does selective dorsal rhizotomy reduce the need for subsequent orthopaedic surgical intervention in ambulatory children with spastic diplegic cerebral palsy?

We also wish to assess the safety of this procedure by answering the question:
4. What are the short and long term adverse effects of selective dorsal rhizotomy in this population?

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