Evidence map›Paper›PMID 30294365›Full record

ArticleJournal of children's orthopaedics2018

Selective dorsal rhizotomy in ambulant children with cerebral palsy.

K K Wang, M E Munger, B P-J Chen, T F Novacheck

Open access · goldAbstract read
In one paragraph

Article in Journal of children's orthopaedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. Article
  3. Long-Term Outcome of Selective Dorsal Rhizotomy for Spastic Children.Advances and technical standards in neurosurgery · 2025
    Review
  4. Preoperative Assessments for Selective Dorsal Rhizotomy.Advances and technical standards in neurosurgery · 2025
    Review
  5. Surgical treatment options for spasticity in children and adolescents with hereditary spastic paraplegia.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
  6. Selective dorsal rhizotomy in non-ambulant children with cerebral palsy: a multi-center prospective study.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Observational
  7. Article
  8. Article
  9. Review
  10. Review
  11. The selective dorsal rhizotomy technique for spasticity in 2020: a review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020
    Review
  12. Article
  13. Selective dorsal rhizotomy: functional anatomy of the conus-cauda and essentials of intraoperative neurophysiology.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020
    Article
  14. Review
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

K K WangCenter for Gait and Motion Analysis, Gillette Children's Specialty Healthcare, Twin Cities, Minnesota, USA.
M E MungerCenter for Gait and Motion Analysis, Gillette Children's Specialty Healthcare, Twin Cities, Minnesota, USA.
B P-J ChenCenter for Gait and Motion Analysis, Gillette Children's Specialty Healthcare, Twin Cities, Minnesota, USA.
T F NovacheckCenter for Gait and Motion Analysis, Gillette Children's Specialty Healthcare, Twin Cities, Minnesota, USA.
Gillette Children's Specialty Healthcare · USUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelective dorsal rhizotomy (SDR) is a surgical procedure for treating spasticity in ambulant children with cerebral palsy (CP). However, controversies remain regarding indications, techniques and outcomes. CURRENT EVIDENCE SUMMARY: Because SDR is an irreversible procedure, careful patient selection, a multi-disciplinary approach in assessment and management and division of the appropriate proportion of dorsal rootlets are felt to be paramount for maximizing safety. Reliable evidence exists that SDR consistently reduces spasticity, in a predictable manner and to a substantial degree. However, functional improvements are small in the short-term with long-term benefits difficult to assess. FUTURE OUTLOOK: There is a need for high-quality studies utilizing long-term functional outcomes and well-matched control groups. Collaborative, multicentre efforts are required to further define the role of SDR as part of the management paradigm in maximizing physical function in spastic CP.

Indexed as

cerebral palsyinterdisciplinary careselective dorsal rhizotomyspasticity

Identifiers

PMID30294365
PMCPMC6169562
OpenAlexW2889727104

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.