Evidence map›Paper›PMID 39317766›Full record

ReviewChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2024

Selective dorsal rhizotomy after baclofen intrathecal pump removal: a single-center experience and review of the literature.

Claudio Ruggiero, Massimiliano Porzio, Francesco Tengattini, Giuseppe Cinalli, Pietro Spennato

Abstract readReview
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In one paragraph

Review in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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.

Claudio RuggieroFunctional Neurosurgery Unit, Unit of Neurosurgery, Department of Neurosciences, Santobono-Pausilipon Children's Hospital, Naples, Italy.
Massimiliano PorzioFunctional Neurosurgery Unit, Unit of Neurosurgery, Department of Neurosciences, Santobono-Pausilipon Children's Hospital, Naples, Italy. massimiliano.porzio1@gmail.com.
Francesco TengattiniDivision of Neurosurgery, Department of Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.
Giuseppe CinalliDepartment of Neurosciences, Unit of Neurosurgery, Santobono-Pausilipon Children's Hospital, Naples, Italy.
Pietro SpennatoDepartment of Neurosciences, Unit of Neurosurgery, Santobono-Pausilipon Children's Hospital, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSelective dorsal rhizotomy (SDR) and intrathecal baclofen (ITB) pump placement are two surgical options in children affected by spasticity secondary to cerebral palsy

methodsA retrospective single-center study has screened all children diagnosed with spastic tetraparesis who underwent in the last 10 years SDR and had previously ITB pump implanted. A cohort of six patients was pooled out. Furthermore, pertinent literature has been reviewed.

resultsIndication for pump removal was pump pocket infection, parents' decision, and poor response to ITB. Patients' amount of lifetime with the pump implanted has been 6.9 years. The preoperative and postoperative Ashworth scores were statistically different in both procedures (p = 0.005 and p = 0.,02).

conclusionsOnly two studies investigated the pediatric population undergoing SDR in the occurrence of ITB pump removal. Authors are offering SDR to all children, regardless of GMFCS groups and previous ITB pump placement. In conclusion, SDR represents a valid tool in neurosurgeon's hands to help ameliorate patients' long-lasting quality of life, reducing the severity of the spasticity and leading to better management by caregivers.

Indexed as

BaclofenCerebral PalsyInfusion Pumps, ImplantableMuscle Relaxants, CentralMuscle SpasticityRhizotomyAdolescentChildChild, PreschoolDevice RemovalFemaleHumansInjections, SpinalMaleRetrospective StudiesBaclofenMuscle Relaxants, CentralAshworth scaleITB pump removalSDRSpasticity

Identifiers

PMID39317766

What OpenQuestion holds

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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.