Selective dorsal rhizotomy for spasticity associated with spinal cord injury sustained during surgery for spinal lipomatous malformation: A case report
Affiliations: [a] Rocky Vista University College of Osteopathic Medicine, Parker, CO, USA
| [b] University of Utah Department of Physical Medicine & Rehabilitation, Primary Children’s Hospital, Salt Lake City, UT, USA
| [c] Department of Physical Medicine & Rehabilitation, University of Colorado School of Medicine and Children’s Hospital Colorado, Aurora, CO, USA
| [d] Department of Physical Therapy, Children’s Hospital Colorado, Aurora, CO, USA
| [e] Department of Neurosurgery, University of Colorado School of Medicine and Division of Neurosurgery, Children’s Hospital Colorado, Aurora, CO, USA
Correspondence:
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Corresponding author: Megan Ryan, Rocky Vista University College of Osteopathic Medicine, 8401 S Chambers Rd, Parker, CO, 80134, USA. Tel.: +1 7636881086; E-mail: megan.ryan@rvu.edu.
Abstract: Selective dorsal rhizotomy (SDR) was used to treat lower extremity spasticity in an ambulatory 7-year-old girl with a history of a T10 spinal lipoma. The spasticity was the result of an AIS D spinal cord injury (SCI) suffered during untethering surgery at age 2 years. After SDR and a course of intensive inpatient rehabilitation, the patient’s gait improved markedly. To the authors’ knowledge, this is the first published case of SDR as a treatment for spasticity in a patient with a spinal lipomatous malformation.
