{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T19:12:34Z","timestamp":1761765154216},"reference-count":6,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1978,2]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 Three patients with spastic neurogenic bladder underwent sacral root stimulation and appropriate section of motor rootlets to the detrusor at the level of the conus medullaris. Compared to the results obtained with rhizotomies at the sacral levels in a previous series of patients, urinary frequency and infection were inhibited for longer periods of time, but some uninhibited bladder activity recurred in all three patients. Analysis of anatomical and electrophysiological data serves to emphasize the complexity and asymmetry of efferent supply to detrusor muscle. The authors conclude that the role of selective rhizotomy for inhibition of the spastic bladder is inconclusive, and perhaps a combination of surgery and medications that inhibit smooth-muscle contraction may be required for long-term protection of urinary collection systems.<\/jats:p>","DOI":"10.3171\/jns.1978.48.2.0193","type":"journal-article","created":{"date-parts":[[2009,5,7]],"date-time":"2009-05-07T15:30:35Z","timestamp":1241710235000},"page":"193-196","source":"Crossref","is-referenced-by-count":13,"title":["Sacral rootlet rhizotomy at the conus medullaris for hypertonic neurogenic bladder"],"prefix":"10.3171","volume":"48","author":[{"given":"Stanislaw K.","family":"Toczek","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David C.","family":"McCullough","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John S.","family":"Boggs","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Urol","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1016\/S0022-5347(17)60721-3","article-title":"Oxybutynin: a new drug with analgesic and anticholinergic properties.","volume":"108","author":"Diokno","year":"1972"},{"key":"b2","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"494","DOI":"10.3171\/jns.1973.38.4.0494","article-title":"Selective sacral rootlet section for experimental detrusor inhibition.","volume":"38","author":"Gargour","year":"1973"},{"key":"b3","series-title":"J Anat Physiol","first-page":"386","article-title":"The pelvic splanchnic nerves: an examination into their range and character.","volume":"33","author":"Harman","year":"1899"},{"key":"b4","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"748","DOI":"10.3171\/jns.1973.38.6.0748","article-title":"Differential sacral rhizotomy in the treatment of neurogenic bladder dysfunction. Preliminary report of six cases.","volume":"38","author":"Rockswold","year":"1973"},{"key":"b5","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"567","DOI":"10.3171\/jns.1975.42.5.0567","article-title":"Selective sacral rootlet rhizotomy for hypertonic neurogenic bladder.","volume":"42","author":"Toczek","year":"1975"},{"key":"b6","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"176","DOI":"10.3171\/jns.1976.44.2.0176","article-title":"Management of the uninhibited bladder by selective sacral neurectomy.","volume":"44","author":"Torrens","year":"1976"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/48\/2\/article-p193.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/48\/2\/article-p193.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/48\/2\/article-p193.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,23]],"date-time":"2022-10-23T14:48:15Z","timestamp":1666536495000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/48\/2\/article-p193.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1978,2]]},"references-count":6,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/jns.1978.48.2.0193","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1978,2]]}}}