Objective To investigate the method and effect of selective cervical muscle removal and peripheral neurotomy in the treat-ment of cerebral palsy complicated with localized cervical muscle spasm.Methods A retrospective analysis was performed on the clinical data of 60 patients with cerebral palsy complicated with localized cervical muscle spasm admitted to the Cerebral Palsy Surgery Research and Treat-ment Center of Zhengzhou University from September 2005 to September 2010.According to the type of abnormal twisting of the head and neck,the prime mover and synergistic muscles involved in the abnormal movement of the neck were identified after motor anatomical analysis.Twenty neck specimens(40 sides)were anatomically observed,and the morphology,position and innervation of the prime mover muscle were com-bined to perform selective neck muscle removal and peripheral neurotomy.Results The recent effectiveness rate is 100％,and the curative rate reaches 90％after more than 10 years of follow-up.Conclusion Selective cervical muscle removal and peripheral neurotomy is a safe and ef-fective procedure for the treatment of patients with cerebral palsy and rotational localized cervical spasm.
维普
万方数据