PMID- 26759019
OWN - NLM
STAT- MEDLINE
DCOM- 20170106
LR  - 20181113
IS  - 1433-0350 (Electronic)
IS  - 0256-7040 (Linking)
VI  - 32
IP  - 5
DP  - 2016 May
TI  - Monosegmental laminoplasty for selective dorsal rhizotomy--operative technique 
      and influence on the development of scoliosis in ambulatory children with 
      cerebral palsy.
PG  - 819-25
LID - 10.1007/s00381-016-3016-3 [doi]
AB  - PURPOSE: Selective dorsal rhizotomy (SDR) reduces spasticity in children with 
      cerebral palsy (CP) and is performed either through a lumbosacral multilevel 
      laminectomy or a single-level laminectomy at the medullary conus. Spinal 
      interventions generally involve the risk of subsequent instability depending on 
      the extent of structural weakening. Destabilizing spasticity in CP might further 
      increase this risk for both options. Laminoplasty is frequently applied to reduce 
      instability through anatomical restoration, although the unavoidable interruption 
      of interspinous ligaments might be a reason for inconsistent results. We report 
      on a novel technique of laminoplasty, achieving complete restoration of the 
      dorsal column. METHODS: One hundred sixteen ambulatory children with gross motor 
      function classification scale (GMFCS) level I to III were submitted to SDR 
      through a single-level approach. The lamina was reinserted with a previously 
      unreported technique of laminoplasty. Osseous reintegration of the excised lamina 
      was supposed, if its spinous process was located in place on late follow-up 
      radiographs. Scoliosis was described via Cobb's angle. RESULTS: At a mean 
      follow-up of 33 months, radiographs were available from 72 children with a mean 
      age at surgery of 7.2 years. Sixty-two out of the 72 reinserted laminae were 
      supposed to be vital and reintegrated. Seven children developed a predominantly 
      mild scoliosis. No association was found between development of scoliosis and 
      GMFCS level or age. CONCLUSIONS: This novel laminoplasty technique provides the 
      least invasive approach for SDR. The incidence of scoliosis after this 
      single-level approach is comparable to the natural history of ambulatory CP 
      children.
FAU - Funk, Julia Franziska
AU  - Funk JF
AUID- ORCID: 0000-0002-1695-2124
AD  - Department of Pediatric Orthopedic Surgery and Neuroorthopedics, Center for 
      Musculoskeletal Surgery, Charite - University Medicine Berlin, Chariteplatz 1, 
      10117, Berlin, Germany. julia.funk@charite.de.
FAU - Haberl, Hannes
AU  - Haberl H
AD  - Section of Pediatric Neurosurgery, Department of Neurosurgery, University of Ulm, 
      Eythstrasse 24, 89075, Ulm, Germany.
LA  - eng
PT  - Journal Article
DEP - 20160113
PL  - Germany
TA  - Childs Nerv Syst
JT  - Child's nervous system : ChNS : official journal of the International Society for 
      Pediatric Neurosurgery
JID - 8503227
SB  - IM
MH  - Adolescent
MH  - Cerebral Palsy/diagnostic imaging/*surgery
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Laminectomy/adverse effects/*methods
MH  - Laminoplasty/adverse effects/*methods
MH  - Male
MH  - Rhizotomy/adverse effects/*methods
MH  - Scoliosis/*diagnostic imaging/*etiology
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Gross motor function
OT  - Less invasive spine surgery
OT  - Spasticity management
OT  - Spinal deformity
EDAT- 2016/01/14 06:00
MHDA- 2017/01/07 06:00
CRDT- 2016/01/14 06:00
PHST- 2015/11/06 00:00 [received]
PHST- 2016/01/05 00:00 [accepted]
PHST- 2016/01/14 06:00 [entrez]
PHST- 2016/01/14 06:00 [pubmed]
PHST- 2017/01/07 06:00 [medline]
AID - 10.1007/s00381-016-3016-3 [pii]
AID - 10.1007/s00381-016-3016-3 [doi]
PST - ppublish
SO  - Childs Nerv Syst. 2016 May;32(5):819-25. doi: 10.1007/s00381-016-3016-3. Epub 
      2016 Jan 13.