Türk Nöroşirürji Dergisi 2021 , Vol 31 , Num 1
Surgical Treatment of Spasticity
Mustafa SAKAR1,Adnan DAĞÇINAR1
1Marmara Üniversitesi, Pendik Eğitim ve Araştırma Hastanesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, İstanbul, Türkiye Spasticity is defined as velocity-dependent resistance to passive movement of a joint. A variety of disorders affecting the central nervous system including cerebral palsy and spinal cord injuries may cause spasticity. Treatment options include physical therapy and rehabilitation, medications, orthopedic surgery, and neurosurgery. Avoiding any impairment of useful muscular tonus and functional loss is of paramount importance. Management must be based on whether spasticity is focal or general and permanent or transient. Ongoing growth and development, and technical problems such as lack of an appropriate site for pump insertion in small children may pose additional difficulties in the treatment of spasticity in childhood. Neurosurgical treatment is usually based on lesioning surgery or central nervous system infusion techniques, namely baclofen pumps. The most commonly used surgical techniques include selective dorsal rhizotomy and DREZotomy together with baclofen pump insertion. Anahtar Kelimeler : Spasticity, Baclofen, Drez, Rhizotomy, Neurotomy