{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T13:40:20Z","timestamp":1791898820683,"version":"4.3.4"},"reference-count":24,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1991,9]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 The authors report their experience using dorsal longitudinal myelotomy in treating spasticity in 20 patients with complete spinal cord injuries. These patients suffered from severe painful flexor\/extensor spasms that prevented them from wheelchair ambulation and\/or their decubitus ulcers healing. All were receiving large doses of various oral drugs, including baclofen, which had failed to control their spasticity, and all underwent a modification of a posterior T-myelotomy as first described by Bischof. All 20 patients enjoyed immediate complete relief of their painful spasms, although two (10%) eventually experienced return of their spasms and are thus classified as long-term failures. Seventeen patients succeeded in markedly reducing, or being completely weaned from, their antispasmodic medications. In 11 of 14 patients, nonhealing decubitus ulcers subsequently healed with treatment. Bladder function was unchanged from the preoperative status in all patients.<\/jats:p>\n<jats:p content-type=\"fine-print\">Chronic intrathecal baclofen infusion has recently been reported as an effective treatment of the spasticity of paraplegia. The results of this study, along with previous reports advocating dorsal longitudinal myelotomy, suggest that this approach is an efficacious alternative to chronic baclofen infusion in reducing spasticity for complete paraplegics. Considering the cost of the infusion pump, along with the fact that chronic intrathecal baclofen therapy necessitates long-term medical supervision, it appears that myelotomy is superior for this select group of patients who have no hope of regaining voluntary motor function.<\/jats:p>","DOI":"10.3171\/jns.1991.75.3.0397","type":"journal-article","created":{"date-parts":[[2009,5,19]],"date-time":"2009-05-19T16:16:37Z","timestamp":1242749797000},"page":"397-401","source":"Crossref","is-referenced-by-count":19,"title":["Efficacy of dorsal longitudinal myelotomy in treating spinal spasticity: a review of 20 cases"],"prefix":"10.3171","volume":"75","author":[{"given":"Timothy K.","family":"Putty","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott A.","family":"Shapiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Am Paraplegia Soc","first-page":"9","article-title":"Surgical management of spasticity and spasms in spinal cord injury: an overview.","volume":"11","author":"Barolat","year":"1988"},{"key":"b2","series-title":"Appl Neurophysiol","first-page":"307","article-title":"Enhancement of voluntary motor function following spinal cord stimulation \u2014 case study.","volume":"49","author":"Barolat","year":"1986"},{"key":"b3","series-title":"J Neurosurg","first-page":"558","article-title":"Immediate effects of spinal cord stimulation in spinal spasticity.","volume":"62","author":"Barolat-Romana","year":"1985"},{"key":"b4","series-title":"Zentralbl Neurochir","first-page":"79","article-title":"Die longitudinale Myelotomie.","volume":"11","author":"Bischof","year":"1951"},{"key":"b5","series-title":"Zentralbl Neurochir","first-page":"123","article-title":"Zur dorsalen longitudinalen Myelotomie.","volume":"28","author":"Bischof","year":"1967"},{"key":"b6","series-title":"J Neurosurg","first-page":"187","article-title":"Intrathecal alcohol in the treatment of spastic paraplegia.","volume":"6","author":"Cooper","year":"1949"},{"key":"b7","series-title":"Ann Neurol","first-page":"107","article-title":"Antispasticity drugs: mechanism of action.","volume":"17","author":"Davidoff","year":"1985"},{"key":"b8","series-title":"Lancet","first-page":"916","article-title":"Intrathecal baclofen for cerebral spasticity.","volume":"2","author":"Dralle","year":"1989"},{"key":"b9","series-title":"Clin Orthop","first-page":"137","article-title":"Dorsal myelotomy for relief of spasticity in spinal injury patients.","volume":"192","author":"Fogel","year":"1985"},{"key":"b10","series-title":"Am J Phys Med Rehabil","first-page":"112","article-title":"Intrathecal baclofen infusion. Effect on bladder management programs in patients with myelopathy.","volume":"68","author":"Frost","year":"1989"},{"key":"b11","series-title":"Clin Neurosurg","first-page":"523","article-title":"Controversies in the surgical management of spasticity.","volume":"33","author":"Kasdon","year":"1986"},{"key":"b12","series-title":"J Neurosurg","first-page":"536","article-title":"Longitudinal myelotomy in the treatment of spasticity of the legs.","volume":"35","author":"Laitinen","year":"1971"},{"key":"b13","series-title":"J Neurosurg","first-page":"393","article-title":"Chronic intrathecal baclofen administration for control of severe spasticity.","volume":"72","author":"Lazorthes","year":"1990"},{"key":"b14","series-title":"J Neurosurg","first-page":"539","article-title":"The treatment of spastic paraplegia by selective spinal cordectomy.","volume":"11","author":"MacCarty","year":"1954"},{"key":"b15","series-title":"J Neurosurg","first-page":"615","article-title":"Longitudinal myelotomy for spasticity.","volume":"31","author":"Moyes","year":"1969"},{"key":"b16","series-title":"N Engl J Med","first-page":"453","article-title":"The rehabilitation of patients totally paralyzed below the waist: with special reference to making them ambulatory and capable of earning their living. I. Anterior rhizotomy for spasticity paraplegia.","volume":"233","author":"Munro","year":"1945"},{"key":"b17","series-title":"J Urol","first-page":"101","article-title":"Effect of intrathecal baclofen on bladder and sphincter function.","volume":"142","author":"Nanninga","year":"1989"},{"key":"b18","series-title":"Arch Phys Med Rehabil","first-page":"30","article-title":"Functional outcome after delivery of intrathecal baclofen.","volume":"70","author":"Parke","year":"1989"},{"key":"b19","series-title":"Lancet","first-page":"1078","article-title":"Intrathecal baclofen alleviates spinal cord spasticity.","volume":"1","author":"Penn","year":"1984"},{"key":"b20","series-title":"J Neurosurg","first-page":"181","article-title":"Long-term intrathecal baclofen infusion for treatment of spasticity.","volume":"66","author":"Penn","year":"1987"},{"key":"b21","series-title":"N Engl J Med","first-page":"1517","article-title":"Intrathecal baclofen for severe spinal spasticity.","volume":"320","author":"Penn","year":"1989"},{"key":"b22","series-title":"Neurochirurgie","first-page":"229","article-title":"Traitement neuro-chirurgical des contractures chez les paraplegiques posttraumatiques.","volume":"6","author":"Pourpre","year":"1960"},{"key":"b23","series-title":"Milit Med","first-page":"608","article-title":"Longitudinal myelotomy in spastic paraplegia.","volume":"134","author":"VanderArk","year":"1969"},{"key":"b24","series-title":"J Neurosurg","first-page":"683","article-title":"Myelotomy for control of mass spasms in paraplegia.","volume":"45","author":"Yamada","year":"1976"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/75\/3\/article-p397.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/75\/3\/article-p397.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/75\/3\/article-p397.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,19]],"date-time":"2023-03-19T22:14:36Z","timestamp":1679264076000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/75\/3\/article-p397.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1991,9]]},"references-count":24,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.3171\/jns.1991.75.3.0397","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1991,9]]}}}