OYOQLARDA SPASTIK SINDROMINI DAVOLASHDA DIFFERENSIAL YONDASHUV
##article.subject##:
spastiklik, bolalar serebral falaji, selektiv dorsal rizotomiya, selektiv periferik nevrotomiya, intraoperatsion neyromonitoring, reabilitatsiya.##article.abstract##
Tadqiqotning maqsadi bolalar serebral falaji (BSF) bilan og‘rigan bolalarda oyoqlarning spastik sindromlarini klinik va neyrofiziologik mezonlar asosida jarrohlik yo‘li bilan davolashga differensial yondashuvni asoslashdan iborat. Prospektiv tadqiqotga BSF kasalligining turli shakllari bilan kasallangan 75 nafar bemor kiritilgan bo‘lib, ularga yetakchi patogenetik mexanizm va spastiklik darajasiga qarab selektiv dorsal rizotomiya (SDR), selektiv periferik nevrotomiya yoki botulinoterapiya o‘tkazilgan. Samaradorlikni baholash MAS, GMFCS, MACS klinik va funksional shkalalari, shuningdek, elektromiografiya ma’lumotlari yordamida amalga oshirildi. Olingan natijalar konservativ usullarga nisbatan jarrohlik aralashuvlarini qo‘llashda, ayniqsa aralashuvning aniqligi va xavfsizligini ta’minlaydigan intraoperatsion neyromonitoringdan foydalanganda spastiklikning yanada aniq va barqaror pasayishini ko‘rsatdi. Ushbu tadqiqot kompleks klinik va neyrofiziologik baholash asosida jarrohlik taktikasini individual tanlashning maqsadga muvofiqligini tasdiqlaydi.
Библиографические ссылки
Olof Lindén, Gunnar Hägglund, Elisabet Rodby-Bousquet, Philippe Wagner The development of spasticity with age in 4,162 children with cerebral palsy: a register-based prospective cohort study Acta Orthop. 2019 Mar 25;90(3):286–291. doi: 10.1080/17453674.2019.1590769
Hägglund, G., Hollung, S.J., Ahonen, M.et al.Treatment of spasticity in children and adolescents with cerebral palsy in Northern Europe: a CP-North registry study.BMC Neurol 21, 276 (2021). https://doi.org/10.1186/s12883-021-02289-3
Brandenburg JE, et al. Spasticity interventions: Decision-making and management. Pediatric Clinics of North America. 2023;70:483.
Sebastian Grunt, A Graham Fieggen, R Jeroen Vermeulen, Jules G Becher, Nelleke G Langerak Selection criteria for selective dorsal rhizotomy in children with spastic cerebral palsy: a systematic review of the literature Developmental Medicine & Child Neurology 2013 https://doi.org/10.1111/dmcn.12277
He J, Luo A, Yu J, Qian C, Liu D, Hou M, Ma Y. Quantitative assessment of spasticity: a narrative review of novel approaches and technologies. Front Neurol. 2023 Jul 5;14:1121323. doi: 10.3389/fneur.2023.1121323. PMID: 37475737; PMCID: PMC10354649.
Gormley ME Jr. Treatment of neuromuscular and musculoskeletal problems in cerebral palsy. Pediatr Rehabil. 2001;4(1):5–16.
Peacock WJ, Arens LJ, Berman B. Selective posterior rhizotomy for the treatment of spasticity in cerebral palsy. J Neurosurg. 1987;66(5):747–752.
Park T. Selective dorsal rhizotomy for spastic cerebral palsy: Techniques and outcomes. Neurosurg Focus. 2006;21(2):E5.
McLaughlin J, Bjornson K, Temkin N, et al. Selective dorsal rhizotomy: meta-analysis of long-term effects. Dev Med Child Neurol. 2002;44(1):17–25.
Bertrand SS, Fournier D, Parent A. Selective peripheral neurotomy for treatment of spasticity in cerebral palsy. Childs Nerv Syst. 2003;19(7–8):498–505.
Heinen F, Desloovere K, Schroeder AS, et al. The updated European consensus 2009 on the use of botulinum toxin for children with cerebral palsy. Eur J Paediatr Neurol. 2010;14(1):45–66.
Fehlings D, Switzer L, Findlay B, et al. Systematic review of the botulinum toxin literature for children with cerebral palsy: what do we know and what do we need to know?. J Child Neurol. 2012;27(4):462–470.
Novak I, McIntyre S, Morgan C, et al. A systematic review of interventions for children with cerebral palsy: state of the evidence. Dev Med Child Neurol. 2013;55(10):885–910.
Sindou M, Mertens P, Wael M, et al. Selective peripheral neurotomy for the treatment of spasticity in cerebral palsy: a prospective analysis of 100 cases. Neurosurgery. 2007;61(5 Suppl 2):E339–E350.
