[Surgical procedures for treatment of spasticity]. / Chirurgische Verfahren zur Therapie von Spastik.
Nervenarzt
; 94(12): 1116-1122, 2023 Dec.
Article
en De
| MEDLINE
| ID: mdl-37955654
ABSTRACT
BACKGROUND:
The causes of spasticity are various and include cerebral palsy, spinal cord injury, stroke, multiple sclerosis or other congenital or acquired lesions of the central nervous system (CNS). While there is often a partial functional component, spasticity also results in varying degrees of impairment of the quality of life.OBJECTIVE:
A review of surgical treatment options for spasticity. MATERIAL ANDMETHODS:
A systematic PubMed review of the literature on epidemiology and treatment options with a focus on neurosurgical interventions for spasticity and developments in the last 20 years as well as inclusion of still valid older landmark papers was carried out. Illustration of indications, technique, follow-up, and possible pitfalls of the different methods for the surgical treatment of spasticity.RESULTS:
Depending on the affected region, the number of muscle groups, and the extent of spasticity, focal (selective peripheral neurotomy, nerve transfer), regional (selective dorsal rhizotomy), or generalized (baclofen pump) procedures can be performed. The indications are usually established by an interdisciplinary team. Conservative (physiotherapy, oral medications) and focally invasive (botulinum toxin injections) methods should be performed in advance. In cases of insufficient response to treatment or only short-term relief, surgical methods can be evaluated. These are usually preceded by test phases with, for example, trial injections.CONCLUSION:
Surgical methods are a useful adjunct in cases of insufficient response to conservative treatment in children and adults with spasticity.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Calidad de Vida
/
Parálisis Cerebral
Límite:
Child
/
Humans
Idioma:
De
Revista:
Nervenarzt
Año:
2023
Tipo del documento:
Article