{"doi":"10.3171/2014.5.peds13459","title":"Role of dorsal rhizotomy in spinal cord injury–induced spasticity","abstract":"<jats:p>Selective dorsal rhizotomy may have a role in the management of spinal cord injury (SCI)–induced spasticity. Spasticity and spasms are common sequelae of SCI in children. Depending on the clinical scenario, treatments may include physical and occupational therapy, oral medications, chemodenervation, and neurosurgical interventions. Selective dorsal rhizotomy (SDR) is used in the management of spasticity in selected children with cerebral palsy, but, to the authors' knowledge, its use has not been reported in children with SCI. The authors describe the cases of 3 pediatric patients with SCI and associated spasticity treated with SDR. Two of the 3 patients have had significant long-term improvement in their preoperative spasticity. Although the third patient also experienced initial relief, his spasticity quickly returned to its preoperative severity, necessitating additional therapies. Selective dorsal rhizotomy may have a place in the treatment of selected children with spasticity due to SCI.</jats:p>","journal":"Journal of Neurosurgery: Pediatrics","year":2014,"id":659269,"datarank":0.4887144807032224,"base_score":3.258096538021482,"endowment":3.258096538021482,"self_citation_contribution":0.4887144807032224,"citation_network_contribution":0.0,"self_endowment_contribution":0.4887144807032224,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":25,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1720965,"name":"Ryan P. 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Selective dorsal rhizotomy (SDR) is used in the management of spasticity in selected children with cerebral palsy, but, to the authors' knowledge, its use has not been reported in children with SCI. The authors describe the cases of 3 pediatric patients with SCI and associated spasticity treated with SDR. Two of the 3 patients have had significant long-term improvement in their preoperative spasticity. Although the third patient also experienced initial relief, his spasticity quickly returned to its preoperative severity, necessitating additional therapies. Selective dorsal rhizotomy may have a place in the treatment of selected children with spasticity due to SCI.</jats:p>","is_dataset_classified":null,"base_score":3.258096538021482,"endowment":3.258096538021482,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"24971608","pmcid":null,"openalex_id":"https://openalex.org/W1551636467","authors":[],"funders":[],"total_grants":0,"fwci":0.7895,"citation_percentile":0.68735413,"influential_citations":0,"citation_trend":[{"year":2015,"count":1},{"year":2016,"count":1},{"year":2017,"count":2},{"year":2018,"count":2},{"year":2019,"count":1},{"year":2020,"count":4},{"year":2022,"count":3},{"year":2023,"count":3},{"year":2024,"count":2},{"year":2025,"count":6}],"oa_status":"closed","license":null,"oa_locations":[{"url":"https://thejns.org/view/journals/j-neurosurg-pediatr/14/3/article-p266.xml","host_type":"publisher"},{"url":"https://thejns.org/downloadpdf/journals/j-neurosurg-pediatr/14/3/article-p266.xml","host_type":"publisher"},{"url":"https://doi.org/10.3171/2014.5.peds13459","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/24971608","host_type":"repository"}],"fields_of_study":["Cerebral Palsy and Movement Disorders","Botulinum Toxin and Related Neurological Disorders","Spinal Cord Injury Research","Accidental Falls","Adolescent","Baclofen","Cervical Vertebrae","Child","Dose-Response Relationship, Drug","Female","Humans","Infusion Pumps, Implantable","Male","Muscle Relaxants, Central","Muscle Spasticity","Quadriplegia","Rhizotomy","Spinal Cord Injuries","Thoracic Vertebrae","Treatment Outcome","Wounds, Gunshot"],"mesh_terms":["Accidental Falls","Adolescent","Baclofen","Cervical Vertebrae","Child","Dose-Response Relationship, Drug","Female","Humans","Male","Muscle Relaxants, Central","Muscle Spasticity","Quadriplegia","Spinal Cord Injuries","Thoracic Vertebrae","Wounds, Gunshot","Infusion Pumps, Implantable","Treatment Outcome","Rhizotomy"],"keywords":["Rhizotomy","Spasticity","Medicine","Cerebral palsy","Spinal cord injury","Dorsum","Spinal cord","Anesthesia","Baclofen","Physical medicine and rehabilitation","Anatomy","Spine","Adl = Activities Of Daily Living","Sci = Spinal Cord Injury","Itb = Intrathecal Baclofen","Sdr = Selective Dorsal Rhizotomy","Selective Dorsal Rhizotomy"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-12T06:30:51.767944Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}