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• W2516024410 abstract "Selective dorsal rhizotomy for spastic cerebral palsy is an effective and well-validated surgical approach. Multiple techniques have been described in the past including multiple laminectomies and a single-level laminectomy at the level of the conus. There is considerable technical challenge involved with a single-level laminectomy approach.We report here a modification of the single-level laminectomy that selectively analyzes each individual nerve root with electromyography to separate dorsal and ventral nerve roots through comparison of stimulus responses.In 18 children with cerebral palsy who underwent this operation there was a mean improvement in the Modified Ashworth Scale of 2.0 with no reported incidence of muscle weakness, sensory loss, or neurogenic bladder.This approach allows for a modification of selective dorsal rhizotomy through a single-level laminectomy and tailors the selection of nerve root sectioning to the individual patient of interest while still maintaining its effectiveness." @default.
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• W2516024410 date "2016-01-01" @default.
• W2516024410 modified "2023-10-14" @default.
• W2516024410 title "Infra-Conus Single-Level Laminectomy for Selective Dorsal Rhizotomy: Technical Advance" @default.
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• W2516024410 doi "https://doi.org/10.1159/000448046" @default.
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