Faculty Collaboration Database

Predictors of ability to walk after selective dorsal rhizotomy in children with cerebral palsy. Neurosurgery 1996 Apr;38(4):711-4; discussion 714

Date

04/01/1996

Pubmed ID

8692389

Scopus ID

2-s2.0-9044236160 (requires institutional sign-in at Scopus site)   18 Citations

Abstract

Serial evaluations were completed after selective dorsal rhizotomy on 90 children with spastic cerebral palsy to analyze whether age, the preoperative gait score, voluntary dorsiflexion at the ankle, the diagnosis (quadriplegia or diplegia), or the length of follow-up correlated with the ability to walk after rhizotomy. The preoperative gait score (P < 0.0001), the diagnosis (diplegia versus quadriplegia, P < 0.0001), unilateral dorsiflexion (P = 0.0029), and bilateral dorsiflexion (P < 0.0001) were significant predictors of the maximal postoperative gait score in the univariate regression analysis, but only the preoperative gait score (P < 0.0001) and the diagnosis (P = 0.0015) retained significant predictive power in the multivariate analysis. These data suggest that the preoperative gait score and the diagnosis are the strongest predictors of ability to walk after selective dorsal rhizotomy. Dorsiflexion demonstrated predictive power only in the univariate model, suggesting that it might have some prognostic value but less than the preoperative gait score or the diagnosis.

Author List

Chicoine MR, Park TS, Vogler GP, Kaufman BA

Author

Bruce A. Kaufman MD Adjunct Professor in the Neurosurgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Cerebral Palsy
Child
Child, Preschool
Female
Follow-Up Studies
Gait
Ganglia, Spinal
Humans
Leg
Male
Muscle Spasticity
Neurologic Examination
Postoperative Complications
Prognosis
Range of Motion, Articular
Rhizotomy
Treatment Outcome
Walking