Clinical Efficacy Of The Treatment Of Children With Spastic Cerebral Palsy SPR Different Ages

Objective:To observe the therapeutic effect of spastic cerebral palsy in children of different ages with the treatment of selective posterior rhizotomy.Method:Choose78cases from September2011to September2013at our hospital carried selective posterior rhizotomy of children with spastic cerebral palsy, including45males and33females; youngest was3years old, maximum18years, mean value is (7.72±2.44) years old; ankle clonus were66cases; Babinski sign was found in42cases; muscle tone approaching to III were47cases; muscle tone approaching to IV in31cases. According to Pediatrics staging criteria based on age, the78children were divided into pre-school period,school age,adolescence,and each of three groups of children in the pre-surgery and2weeks after surgery,three months after surgery,six months after surgery carry on GMFM66iterms score,GMFCS level score,walking function,muscle tone, muscle strength(quadriceps,tibialis anterior,posterior tibial muscle,triceps). Statistical software SPSS17.0is applied in statistical analysis.Results:1. There was a significant difference between the three groups of children with pre-surgery and post-surgery evaluation of muscle tone, indicating that the antispasmodic effect of the SPR to all ages for children with cerebral palsy is exact.2. There was a significant difference among the three groups of children pre-surgery and post-surgery at GMFM66items,walking function,GMFCS rating, indicating that SPR can significantly improve motor function in children with cerebral palsy of all ages.3. There was no statistical difference among the three groups of children pre-surgery and2weeks after surgery to assess lower-extremity muscle strength, indicating that muscle strength for children with cerebral palsy of all ages without significantly weakened after treatment of SPR. However, after three months and six months, when compared with lower limb muscle strength before surgery was statistically significant, which shows lower extremity muscle strength has been improved to varying degrees by postoperative rehabilitation exercises after surgery;4. Compared with the school-age and adolescent children with cerebral palsy, there are statistically significant differences in the recovery in children of pre-school period with cerebral palsy after the treatment of SPR,which illustrates that preschool period children with cerebral palsy is the best phase of treatment.Conclusion:Selective posterior rhizotomy is a reliable way of treatment of spastic cerebral palsy, which can not affect the retention of lower extremity muscle strength and sensory function.At this premise,it can effectively reduce muscle tone, relieve spasms, creating for the latter part of the rehabilitation exercises and orthopedic surgery conditions. Spastic cerebral palsy through different ages SPR functional activity after treatment has been greatly improved, compared to walking on postoperative activity, the preschool period is the best period of cerebral palsy treatment.