The effects of selective posterior rhizotomy on combined symptoms of patients with spastic cerebral palsy

Objective To investigate the effects of lumbar -sacral selective posterior rhizotomy on spasticity of upper limbs,epilepsy,strabis-mus,sialorrhea and dysarthria of pa tients with spastic cerebral palsy.Methods825patients with cerebral palsy who had received SPR between1990and 1998were followed up for two years at least.Result s Of 328cases with spasticity of upper limbs,67(20.4%)had partial ame-lioration of spasticity of upper lim bs.Of 35cases with epilepsy,31(88.6%)had lower frequency of onset or needed to take lower dose drug to control than ever.Of 386cases with s trabismus,132(34.2%)had improved.Of 73cases with sialorrhea,49(67.1%)had improved,21(28.8%)had found sialorrhea disappeararnce.Of 456cases with dysarthria,72(15.8%)had improved.Conclusion Selective posterior rhizotomy has curative effect on com bined symptoms in some of patients wi th cerebral palsy.