Article

Information regarding the selection procedure for selective dorsal rhizotomy
(SDR) in children with spastic cerebral palsy (CP) is scarce. Therefore, the aim
of this study was to summarize the selection criteria for SDR in children with
spastic CP. METHOD: A systematic review was carried out using the following
databases: MEDLINE, CINAHL, EMBASE, PEDro, and the Cochrane Library. Additional
studies were identified in the reference lists. Search terms included 'selective
dorsal rhizotomy', 'functional posterior rhizotomy', 'selective posterior
rhizotomy', and 'cerebral palsy'. Studies were selected if they studied mainly
children (<18y of age) with spastic CP, if they had an intervention of SDR, if
they had a detailed description of the selection criteria, and if they were in
English. The levels of evidence, conduct of studies, and selection criteria for
SDR were scored. RESULTS: Fifty-two studies were included. Selection criteria
were reported in 16 International Classification of Functioning, Disability and
Health model domains including 'body structure and function' (details concerning
spasticity [94%], other movement abnormalities [62%], and strength [54%]),
'activity' (gross motor function [27%]), and 'personal and environmental factors'
(age [44%], diagnosis [50%], motivation [31%], previous surgery [21%], and
follow-up therapy [31%]). Most selection criteria were not based on standardized
measurements. INTERPRETATION: Selection criteria for SDR vary considerably.
Future studies should describe clearly the selection procedure. International
meetings of experts should develop more uniform consensus guidelines, which could
form the basis for selecting candidates for SDR.
CI - (c) 2013 Mac Keith Press.

Langue : ANGLAIS