Evidence map›Paper›PMID 34316304›Full record

ArticleJournal of pediatric neurosciences

Surgical Results of Selective Dorsal Rhizotomy for the Treatment of Spastic Cerebral Palsy.

Marcelo Volpon Santos, Vinicius M Carneiro, Patricia N B G C Oliveira, Carla A T Caldas, Helio R Machado

Open access · greenAbstract read
In one paragraph

Article in Journal of pediatric neurosciences. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. 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

5 authors at 1 institution in 1 country.

Marcelo Volpon SantosDivision of Pediatric Neurosurgery, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Vinicius M CarneiroDivision of Neurosurgery, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Patricia N B G C OliveiraDepartments of Surgery and Anatomy, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Carla A T CaldasDepartment of Neurorehabilitation, Lucy Montoro Rehabilitation Center, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Helio R MachadoDivision of Pediatric Neurosurgery, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Universidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelective dorsal rhizotomy (SDR) is one of the surgical alternatives for treating spasticity, especially in children with spastic diplegia secondary to cerebral palsy (CP). It is becoming increasingly used, and the results of this operation need to be further highlighted.

aimThe main objective of this article was to present the results of such surgical procedure in a cohort of a specialized center, with a particular focus on a quantitative analysis (goniometry). MATERIALS AND

methodsRetrospective review of the medical records and gait analyses of a cohort of 34 patients diagnosed with CP submitted to elective SDR at our institution, in a period of 6 years, was carried out. All patients underwent a thorough clinical and neurological assessment, gait analysis at a dedicated laboratory, and magnetic resonance imaging of whole neuro-axis. STATISTICAL ANALYSIS: For continuous quantitative variables (goniometric angles and muscle tone), a RESULTS AND

conclusionIn a mean follow-up of 3.2 years, SDR provides a measurable and consistent improvement in the motor function of spastic patients, as per range of motion and tonus scales, with low complication rates. It also allows for patients to reduce their use of muscle relaxants, even though their global mobility does not change significantly. Therefore, it should be considered for CP patients who suffer with the deleterious effects of spasticity.

Indexed as

Cerebral palsydorsal rhizotomyoutcomespastic diplespasticity

Identifiers

PMID34316304
PMCPMC8276966
OpenAlexW3174827964

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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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.