{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T18:08:10Z","timestamp":1776276490879,"version":"3.50.1"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,7]]},"DOI":"10.7759\/cureus.83638","type":"journal-article","created":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T08:20:09Z","timestamp":1746606009000},"source":"Crossref","is-referenced-by-count":1,"title":["Beyond Spasticity: The Dual Impact of Selective Dorsal Rhizotomy in Spastic Quadriplegic Patients With Generalized Dystonia and the Need for Intrathecal Baclofen"],"prefix":"10.7759","author":[{"given":"Sevgi","family":"Sarikaya-Seiwert","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ralf","family":"Clauberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ina","family":"Hainmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hartmut","family":"Vatter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannes","family":"Haberl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ehab","family":"Shabo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.13502","article-title":"Identification and measurement of dystonia in cerebral palsy","volume":"59","author":"Rice J","year":"2017","unstructured":"Rice J, Skuza P, Baker F, et al.. Identification and measurement of dystonia in cerebral palsy. Dev Med Child Neurol. 2017, 59:1249-55. 10.1111\/dmcn.13502","journal-title":"Dev Med Child Neurol"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.3171\/2022.4.PEDS21576","article-title":"Comparison of intrathecal baclofen pump insertion and selective dorsal rhizotomy for nonambulatory children with predominantly spastic cerebral palsy","volume":"30","author":"Mansur A","year":"2022","unstructured":"Mansur A, Morgan B, Lavigne A, et al.. Comparison of intrathecal baclofen pump insertion and selective dorsal rhizotomy for nonambulatory children with predominantly spastic cerebral palsy. J Neurosurg Pediatr. 2022, 30:217-23. 10.3171\/2022.4.PEDS21576","journal-title":"J Neurosurg Pediatr"},{"key":"ref3","article-title":"Surgical techniques of selective dorsal rhizotomy for spastic cerebral palsy. Technical note","volume":"21","author":"Park TS","year":"2006","unstructured":"Park TS, Johnston JM. Surgical techniques of selective dorsal rhizotomy for spastic cerebral palsy. Technical note. Neurosurg Focus. 2006, 21:e7.","journal-title":"Neurosurg Focus"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.23736\/S1973-9087.17.04796-7","article-title":"Inter- and intra-rater reliability of the Modified Ashworth Scale: a systematic review and meta-analysis","volume":"54","author":"Meseguer-Henarejos AB","year":"2018","unstructured":"Meseguer-Henarejos AB, S\u00e1nchez-Meca J, L\u00f3pez-Pina JA, Carles-Hern\u00e1ndez R. Inter- and intra-rater reliability of the Modified Ashworth Scale: a systematic review and meta-analysis. Eur J Phys Rehabil Med. 2018, 54:576-90. 10.23736\/S1973-9087.17.04796-7","journal-title":"Eur J Phys Rehabil Med"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.1997.tb07414.x","article-title":"Development and reliability of a system to classify gross motor function in children with cerebral palsy","volume":"39","author":"Palisano R","year":"1997","unstructured":"Palisano R, Rosenbaum P, Walter S, et al.. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997, 39:214-23. 10.1111\/j.1469-8749.1997.tb07414.x","journal-title":"Dev Med Child Neurol"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.3171\/2019.8.PEDS19282","article-title":"Intrathecal baclofen versus selective dorsal rhizotomy for children with cerebral palsy who are nonambulant: a systematic review","volume":"25","author":"Davidson B","year":"2020","unstructured":"Davidson B, Schoen N, Sedighim S, et al.. Intrathecal baclofen versus selective dorsal rhizotomy for children with cerebral palsy who are nonambulant: a systematic review. J Neurosurg Pediatr. 2020, 25:69-77. 10.3171\/2019.8.PEDS19282","journal-title":"J Neurosurg Pediatr"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.14005","article-title":"Effect of continuous intrathecal baclofen therapy in children: a systematic review","volume":"61","author":"Buizer AI","year":"2019","unstructured":"Buizer AI, Martens BH, van Ravenhorst CG, et al.. Effect of continuous intrathecal baclofen therapy in children: a systematic review. Dev Med Child Neurol. 2019, 61:128-34. 10.1111\/dmcn.14005","journal-title":"Dev Med Child Neurol"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.3171\/2019.12.PEDS19629","article-title":"Selective dorsal rhizotomy: an illustrated review of operative techniques","volume":"25","author":"Warsi NM","year":"2020","unstructured":"Warsi NM, Tailor J, Coulter IC, et al.. Selective dorsal rhizotomy: an illustrated review of operative techniques. J Neurosurg Pediatr. 2020, 25:540-7. 10.3171\/2019.12.PEDS19629","journal-title":"J Neurosurg Pediatr"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1159\/000098964","article-title":"Neurosurgical treatment of spasticity: selective posterior rhizotomy and intrathecal baclofen","volume":"58","author":"Albright AL","year":"1992","unstructured":"Albright AL. Neurosurgical treatment of spasticity: selective posterior rhizotomy and intrathecal baclofen. Stereotact Funct Neurosurg. 1992, 58:3-13. 10.1159\/000098964","journal-title":"Stereotact Funct Neurosurg"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-0224","article-title":"Characteristics of pain in children and youth with cerebral palsy","volume":"132","author":"Penner M","year":"2013","unstructured":"Penner M, Xie WY, Binepal N, et al.. Characteristics of pain in children and youth with cerebral palsy. Pediatrics. 2013, 132:e407-13. 10.1542\/peds.2013-0224","journal-title":"Pediatrics"},{"key":"ref11","article-title":"Long-term safety and efficacy of continuous intrathecal baclofen","volume":"44","author":"Campbell WM","year":"2002","unstructured":"Campbell WM, Ferrel A, McLaughlin JF, et al.. Long-term safety and efficacy of continuous intrathecal baclofen. Dev Med Child Neurol. 2002, 44:660-5.","journal-title":"Dev Med Child Neurol"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e31815b4dbc","article-title":"Upper limb function after intrathecal baclofen treatment in children with cerebral palsy","volume":"28","author":"Motta F","year":"2008","unstructured":"Motta F, Stignani C, Antonello CE. Upper limb function after intrathecal baclofen treatment in children with cerebral palsy. J Pediatr Orthop. 2008, 28:91-6. 10.1097\/BPO.0b013e31815b4dbc","journal-title":"J Pediatr Orthop"},{"key":"ref13","article-title":"Selective dorsal rhizotomy: meta-analysis of three randomized controlled trials","volume":"44","author":"McLaughlin J","year":"2002","unstructured":"McLaughlin J, Bjornson K, Temkin N, et al.. Selective dorsal rhizotomy: meta-analysis of three randomized controlled trials. Dev Med Child Neurol. 2002, 44:17-25.","journal-title":"Dev Med Child Neurol"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-8-54","article-title":"Long-term outcomes five years after selective dorsal rhizotomy","volume":"8","author":"Nordmark E","year":"2008","unstructured":"Nordmark E, Josenby AL, Lagergren J, et al.. Long-term outcomes five years after selective dorsal rhizotomy. BMC Pediatr. 2008, 8:54. 10.1186\/1471-2431-8-54","journal-title":"BMC Pediatr"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.12277","article-title":"Selection criteria for selective dorsal rhizotomy in children with spastic cerebral palsy: a systematic review of the literature","volume":"56","author":"Grunt S","year":"2014","unstructured":"Grunt S, Fieggen AG, Vermeulen RJ, et al.. Selection criteria for selective dorsal rhizotomy in children with spastic cerebral palsy: a systematic review of the literature. Dev Med Child Neurol. 2014, 56:302-12. 10.1111\/dmcn.12277","journal-title":"Dev Med Child Neurol"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199311000-00010","article-title":"Selective dorsal rhizotomy: outcome and complications in treating spastic cerebral palsy","volume":"33","author":"Abbott R","year":"1993","unstructured":"Abbott R, Johann-Murphy M, Shiminski-Maher T, et al.. Selective dorsal rhizotomy: outcome and complications in treating spastic cerebral palsy. Neurosurgery. 1993, 33:851-7; discussion 857. 10.1227\/00006123-199311000-00010","journal-title":"Neurosurgery"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.1077","article-title":"Beneficial effects of childhood selective dorsal rhizotomy in adulthood","volume":"9","author":"Park TS","year":"2017","unstructured":"Park TS, Edwards C, Liu JL, et al.. Beneficial effects of childhood selective dorsal rhizotomy in adulthood. Cureus. 2017, 9:e1077. 10.7759\/cureus.1077","journal-title":"Cureus"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.14406","article-title":"In support of selective dorsal rhizotomy in cerebral palsy: the strength of clinical experience","volume":"62","author":"Park TS","year":"2020","unstructured":"Park TS. In support of selective dorsal rhizotomy in cerebral palsy: the strength of clinical experience. Dev Med Child Neurol. 2020, 62:654-5. 10.1111\/dmcn.14406","journal-title":"Dev Med Child Neurol"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-024-06618-y","article-title":"Selective dorsal rhizotomy after baclofen intrathecal pump removal: a single-center experience and review of the literature","volume":"40","author":"Ruggiero C","year":"2024","unstructured":"Ruggiero C, Porzio M, Tengattini F, et al.. Selective dorsal rhizotomy after baclofen intrathecal pump removal: a single-center experience and review of the literature. Childs Nerv Syst. 2024, 40:4089-94. 10.1007\/s00381-024-06618-y","journal-title":"Childs Nerv Syst"},{"key":"ref20","doi-asserted-by":"crossref","DOI":"10.1111\/j.1469-8749.2000.tb00093.x","article-title":"The gross motor function classification system for cerebral palsy: a study of reliability and stability over time","volume":"42","author":"Wood E","year":"2000","unstructured":"Wood E, Rosenbaum P. The gross motor function classification system for cerebral palsy: a study of reliability and stability over time. Dev Med Child Neurol. 2000, 42:292-6.","journal-title":"Dev Med Child Neurol"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/67.2.206","article-title":"Interrater reliability of a modified Ashworth scale of muscle spasticity","volume":"67","author":"Bohannon RW","year":"1987","unstructured":"Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther. 1987, 67:206-7. 10.1093\/ptj\/67.2.206","journal-title":"Phys Ther"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1002\/mds.25579","article-title":"Dystonia rating scales: critique and recommendations","volume":"28","author":"Albanese A","year":"2013","unstructured":"Albanese A, Sorbo FD, Comella C, et al.. Dystonia rating scales: critique and recommendations. Mov Disord. 2013, 28:874-83. 10.1002\/mds.25579","journal-title":"Mov Disord"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2004.12.002","article-title":"Validation of a visual gait assessment scale for children with hemiplegic cerebral palsy","volume":"23","author":"Dickens WE","year":"2006","unstructured":"Dickens WE, Smith MF. Validation of a visual gait assessment scale for children with hemiplegic cerebral palsy. Gait Posture. 2006, 23:78-82. 10.1016\/j.gaitpost.2004.12.002","journal-title":"Gait Posture"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.2791","article-title":"Simultaneous selective dorsal rhizotomy and baclofen pump removal improve ambulation in patients with spastic cerebral palsy","volume":"10","author":"Park TS","year":"2018","unstructured":"Park TS, Miller BA, Cho J. Simultaneous selective dorsal rhizotomy and baclofen pump removal improve ambulation in patients with spastic cerebral palsy. Cureus. 2018, 10:e2791. 10.7759\/cureus.2791","journal-title":"Cureus"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/360967-beyond-spasticity-the-dual-impact-of-selective-dorsal-rhizotomy-in-spastic-quadriplegic-patients-with-generalized-dystonia-and-the-need-for-intrathecal-baclofen","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T08:20:10Z","timestamp":1746606010000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/360967-beyond-spasticity-the-dual-impact-of-selective-dorsal-rhizotomy-in-spastic-quadriplegic-patients-with-generalized-dystonia-and-the-need-for-intrathecal-baclofen"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,7]]},"references-count":24,"URL":"https:\/\/doi.org\/10.7759\/cureus.83638","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2025,5,7]]}}}