Treatment of spastic cerebral palsy by selective peripheral partial neurotomy

Objective To evaluate the effects of selective peripheral partial neurotomy in the treatment of spastic cerebral palsy. Methods Selective peripheral partial neurotomy in 92 sides of spastic limbs of 68 patients with cerebral palsy were performed. The peripheral nerves included tibial nerve (36 sides) , sciatic nerve (28 sides) and median nerve (28 sides). Results All cases were followed-up from 3 to 15 months, The spasticity of limbs at 90 sides were relieved(97. 8% )after operation, and were relieved (94. 8%) during follow-up period (87/92). The improvement of motor capacity were observed in 52 patients(76. 5% ). The recurrence rate of spasticity was 5.4%. Conclusion Selective peripheral partial neurotomy is effective in decreasing muscle tension, relieving spasticity in spastic cerebral patients, with minimal trauma. It could be accepted by both neurosurgeons and patients.