Abstract：
Spasticity is a challenging feature of cerebral palsy (CP) that may be managed with selective dorsal rhizotomy (SDR). Although standard work tools (SWTs) have recently been utilized to inform a standard of care for neurosurgical procedures, no SWTs for SDR have been previously described. The authors present the multidisciplinary approach SWTs for SDR used at their institutions to promote consistency in the field and minimize complication rates.
A multidisciplinary approach was used to define all steps in the SDR pathway. Preoperative, intraoperative, and postoperative workflows were synthesized, with specific efforts to improve mobility through inpatient rehabilitation and minimize infection.
The SWTs have been implemented at two institutions for 7 years. An illustrative case of a patient aged 3 years 10 months with a history of premature birth at 29 weeks, spastic-diplegic CP, right-sided periventricular leukomalacia, and developmental delay who underwent L2-S1 SDR is presented.
The authors detail SWTs for SDR developed by a multidisciplinary team with specific steps at all points in the patient pathway. The illustrative case emphasizes that SWTs may help ensure the safety of SDR while maximizing its long-term efficacy for individuals with CP.
A multidisciplinary approach was used to define all steps in the SDR pathway. Preoperative, intraoperative, and postoperative workflows were synthesized, with specific efforts to improve mobility through inpatient rehabilitation and minimize infection.
The SWTs have been implemented at two institutions for 7 years. An illustrative case of a patient aged 3 years 10 months with a history of premature birth at 29 weeks, spastic-diplegic CP, right-sided periventricular leukomalacia, and developmental delay who underwent L2-S1 SDR is presented.
The authors detail SWTs for SDR developed by a multidisciplinary team with specific steps at all points in the patient pathway. The illustrative case emphasizes that SWTs may help ensure the safety of SDR while maximizing its long-term efficacy for individuals with CP.
摘要：
目的：痉挛是脑瘫（CP）的一个具有挑战性的特征，可以通过选择性背根切断术（SDR）来治疗。尽管标准工作工具（SWTs）最近已被用来告知神经外科手术的护理标准，之前没有描述用于SDR的SWT。作者介绍了在其机构中使用的SDR的多学科方法SWT，以促进该领域的一致性并最大程度地降低并发症发生率。
方法：使用多学科方法来定义SDR途径中的所有步骤。术前,术中,合成了术后工作流程，通过住院康复和减少感染来改善流动性。
结果：SWTs已在两个机构实施了7年。一例3岁10个月的患者在29周时有早产史，痉挛-截瘫CP,右侧脑室周围白质软化,并介绍了接受L2-S1SDR的发育迟缓。
结论：作者详细介绍了由多学科团队开发的SDR的SWT，并在患者路径的所有点进行了具体步骤。说明性案例强调，SWT可能有助于确保SDR的安全性，同时最大限度地提高其对CP患者的长期疗效。
方法：使用多学科方法来定义SDR途径中的所有步骤。术前,术中,合成了术后工作流程，通过住院康复和减少感染来改善流动性。
结果：SWTs已在两个机构实施了7年。一例3岁10个月的患者在29周时有早产史，痉挛-截瘫CP,右侧脑室周围白质软化,并介绍了接受L2-S1SDR的发育迟缓。
结论：作者详细介绍了由多学科团队开发的SDR的SWT，并在患者路径的所有点进行了具体步骤。说明性案例强调，SWT可能有助于确保SDR的安全性，同时最大限度地提高其对CP患者的长期疗效。
