2018 AANS Annual Scientific Meeting-611. Selective Neurotomy for Spasticity: A Single Center Experience

611. Selective Neurotomy for Spasticity: A Single Center Experience

Video Transcription

Video Summary

In this video, Dr. Elias discusses the use of selective neurotomy for treating spasticity in patients with conditions such as cerebral palsy, stroke, multiple sclerosis, traumatic brain injury, spinal cord injury, and anoxic injury. He explains that spasticity can cause mobility issues, pain, and aesthetic concerns. Traditional treatments include oral medication and physical therapy, but surgical options such as muscle lengthening or tendon transfer can result in late deformities. Selective neurotomy involves partially denervating a nerve to reduce afferent information, resulting in sprouting and reinnervation of muscle fibers. The study presented is a retrospective analysis of patients who underwent selective neurotomy, and early results show a significant reduction in spasticity. Patient satisfaction surveys are still being collected. The challenge going forward is differentiating between dystonia and spasticity, determining the extent of resection, and identifying which patients may benefit from additional tendon transfer. Selective neurotomy is presented as a reasonable option for patients who fail medical management. (No credits were mentioned in the transcript.)

Asset Caption

Ilyas Eli, MD

Keywords

selective neurotomy

spasticity treatment

cerebral palsy

stroke

multiple sclerosis