Article

Aim To assess the long-term outcome and adverse events of selective dorsal
rhizotomy (SDR) in children with spastic cerebral palsy (CP). Method Studies were
selected based on the following inclusion criteria : children with CP that
underwent SDR with a follow-up period of at least 5 years.
The following
databases were searched: MEDLINE, Web of Science, Embase, PEDro, and the Cochrane
library. Studies meeting the inclusion criteria were scored by two reviewers, who
graded the level of evidence and the quality/conduct of the studies. Outcomes
were classified according to the International Classification of Functioning,
Disability and Health (ICF). Results Only three of the 21 studies who met the
inclusion criteria allowed a tentative conclusion on outcome. There is moderate
evidence that SDR has a positive long-term influence on the ICF body structure
and body function domains but there is no evidence that SDR has an influence on
the ICF activity and participation domains. Spinal abnormalities seem to be
common, but no conclusion can be drawn about their relation to SDR.
Interpretation There is lack of evidence concerning the long-term outcomes after SDR.
Future studies need to clarify the long-term influence of SDR - especially
in the ICF domains of activity and participation.
CI - (c) The Authors. Developmental Medicine & Child Neurology (c) 2011 Mac Keith
Press.

Langue : ANGLAIS