The role of neurectomy in the management of spasticity of the upper limb

[摘要] Spasticity is one of the leading causes of impaired mobility in patients with cerebral palsy (CP), and in patients who have sustained a cerebrovascular accident, multiple sclerosis or other neurological disorders. The main treatment approach for these patients’ impaired mobility is non-surgical, with oral medication, physiotherapy, splinting, chemodenervation, or, most likely, an individualised combination of some or all of these treatment modalities. When an indication for surgical treatment is established, there are many alternative operative techniques that have been described in the literature. The principle of surgery in the functional limb is to restore the balance between agonists and antagonists by reducing the overactivity of the spastic muscles, redirecting muscle forces, mobilising stiff joints or stabilising joints with the aim of improving limb functional status.

[学科分类] 神经科学

[关键词] neurectomy;upper limb spasticity