Selective posterior rhizotomy is effective for relieving @entity508 associated with @entity306 . In current techniques dorsal roots from @entity6812 to S1/S2 are selectively divided. With transoperative electromyography (EMG) significant sensory loss has been prevented, but postoperative @entity2421 following excessive reduction of the fusimotor drive is still of concern for surgeons and therapists. To decrease the volume of deafferentiated rootlets we proposed a limited selective posterior rhizotomy (LPSR) that limits the extent of the surgery to three (L4-S1) or two (L5-S1) dorsal roots. We present the results of two group of @entity508 @entity1 ; group 1 (n = 59, 32 quadriplegic and 27 diplegic) who had a L4-S1 LPSR, and group 2 (n = 12) in whom L5 and S1 were selectively rhizotomized. Posture, passive movilization, range of joint movement, and muscle tone in hip flexors, adductors, @entity1795 were graded according to the method proposed by Sindou and Jeanmonod. In all groups these was a significant reduction of the mentioned parameters (Friedman test p < 0.001) at 6, 12 and 18 months after surgery. The preoperative and postoperative ability to ambulate was classified into five grades. In all groups there was a significant (chi 2 between p < 0.01 and p < 0.001) improvement in the quality of their gait. A third of the @entity1 achieved some form of independent ambulation. Our results suggest that extensive selective deafferentation of the lower limbs is not an absolute requisite for reducing muscle tone or achieving functional improvement in @entity508 @entity1 .

Limited (L4-S1, L5-S1) selective dorsal rhizotomy for reducing @entity508 in XXXX .

@entity1 :: ('9606', 'Species') :: ['children', 'patients'] @entity508 :: ('MESH:D009128', 'Disease') :: ['spasticity', 'spastic'] @entity2421 :: ('MESH:D009123', 'Disease') :: ['hypotonia'] @entity6812 :: ('3897;28913', 'Gene') :: ['L1/L2'] @entity1795 :: ('MESH:D052582', 'Disease') :: ['leg flexors and plantar flexors'] @entity306 :: ('MESH:D002547', 'Disease') :: ['cerebral palsy']
@entity306 :: (MESH:D002547,Disease) :: ['cerebral palsy']
