摘要
Spasticity is the main disabling clinical manifestation of children with cerebral palsy(CP).Selective dorsal rhizotomy(SDR)has been performed for the treatment of spastic CP in Asia for quite some time from 1990.The purpose of this review is to discuss the historical origin and development of SDR.Our goal here is to identify the current patient selection criteria for SDR and to point out indications and contraindications based on the patients with CP,age from 2 to 18 years-old,over 6000 cases,who received SDR surgery with spasticity of muscle tension more than 3 degrees in our center.We also discuss evidence-based approaches on how to evaluate postoperative patient outcomes of SDR and how complications can be avoided.Finally,we mention progress made in terms of SDR technical advances and how improvements can be made in the future.In conclusion,SDR surgery is a reliable way to improve outcomes of patients with spastic CP and can be done carefully in patients as long as stringent selection criteria are used.However,more research and technological advancements are needed to help address associated complications.
作者简介
Qi Sun received his Ph.D.degree from Beijing University of Chinese Medicine in July 2014.He has been a deputy chief physician of Dongzhimen Hospital,Beijing,China(2015–2020)and is an associate professor of Beijing University of Chinese Medicine.He has published many academic papers on journals worldwide.His current research interests include the disc degenerative nucleus pulposus and cartilage endplate degenerative lesions in spine,and the standardized treatment of pediatric cerebral palsy.E‐mail:sunqi2001@sina.com,These authors contributed equally to this work;Wenling Huang received his Ph.D.degree from Beijing University of Chinese Medicine in July 2006.She has been a deputy chief physician in Dongfang Hospital,Beijing University of Chinese Medicine,China,from 2010 to 2020.She is also the laboratory manager of the Reproductive Center in Dongfang Hospital.She has published several books and many academic papers on Chinese and international journals.Her current research interests include infertility and artificially assisted reproduction.E-mail:huangwenling2001@sina.com,These authors contributed equally to this work;Bowen Deng received his M.S.degree from Beijing University of Chinese Medicine in July 2019.Now he is a Ph.D.candidate in Beijing University of Chinese Medicine,Dongzhimen Hospital.His current research focuses on the basic research of cerebral palsy and spinal degeneration.He has published related articles in Chinese core journals.E‐mail:dbwdoctor@hotmail.com;Jingpei Ren received his M.D.degree from Beijing University of Traditional Chinese Medicine in July 2014.He has been an attending physician in Dongzhimen Hospital from 2018 to 2020.He has been instructed by Professor Xu Lin,the father of Eastern Cerebral Palsy.Since 2017,he has been the teaching assistant of the Department of Orthopedics and Traumatology of Dongzhimen Hospital.At present,his main research direction is the combined traditional Chinese and western medicine treatment of elderly degenerative osteoarthrosis,common rehabilitation of limb fractures and traditional Chinese medicine treatment,surgery and rehabilitation integrated treatment of cerebral palsy and limb deformity;Yi Zhao received his M.S.degree from Beijing University of Chinese Medicine in July 2015.After graduation,he worked at Beijing Hospital of Traditional Chinese Medicine,Capital Medical University.Since August 2017,he has been working at Dongzhimen Hospital Beijing University of Chinese Medicine.He has published two articles in Chinese core journals and one article in SCI journal.Currently,his research focuses on the spinal degeneration,spinal deformity,cerebral palsy.E‐mail:zhaoyijoy@aliyun.com;Corresponding author:Xiaohong Mu received her Ph.D.degree from Dongzhimen Hospital of Beijing University of Chinese Medicine in 2009,and then received her postdoctoral training.Since 2011,she has been working in the Department of Orthopedics,Dongzhimen Hospital,Beijing University of Chinese Medicine.She has published many high-quality papers.Her research focuses on integrated traditional Chinese and western medicine in the treatment of cerebral palsy and the mechanism of spinal cord injury and neuropathy.E‐mail:muxiaohong2006@163.com;Corresponding author:Lin Xu received his Ph.D.degree from Zhongshan Hospital,Fudan University,China(1987).He worked successively as the director of the Department of Orthopedics in China Rehabilitation Research Center and Peking University People′s Hospital(1987–2002).Subsequently,he has served as the head of Department of Clinical Orthopedics at Beijing University of Chinese Medicine.He has published more than 200 papers in Chinese core journals and SCI journals.He has also edited more than a dozen monographs.His current research interests include the spinal cord injury,spinal cord deformity and basic research of cerebral palsy.E-mail:xulinguke@163.com
