Rizotomia dorsal seletiva cervical no tratamento de paralisia cerebral espástica em crianças: Uma revisão / Selective cervical dorsal rhizotomy in the treatment of spastic cerebral palsy in children: A review

Francisco José Alencar, Josione Rêgo Ferreira, Leonardo Raphael Santos Rodrigues, Clara Linda Correia Lima Alencar, Ana Patrícia de Carvalho Petillo Rodrigues, Leylane Alzeni Mendes Rilzer Lopes, Lucas Levy Alves de Moraes, Samara Raquel de Sousa, Antonio Luis Martins Maia Filho

Abstract


Analisar a literatura existente sobre a rizotomia dorsal seletiva cervical no tratamento da paralisia cerebral espástica em crianças e determinar quais evidências são obtidas. Foi realizada uma pesquisa eletrônica nas bases de dados MEDLINE (PubMed), ScienceDirect e Web of Science, em maio de 2020, com os descritores: “selective cervical dorsal rhizotomy”; “spastic cerebral palsy” e “children”. Quando necessário, uma nova busca foi realizada na base Google Acadêmico com a expressão “cervical rhizotomy AND cerebral palsy AND spasticity AND children”. Não houve recorte temporal. Quatro artigos foram incluídos nesta revisão sistemática. Os estudos mostram que, após serem submetidos à rizotomia dorsal seletiva cervical, os pacientes infantis e adultos reduzem a espasticidade nos membros superiores, melhoram a função e tornam menos difícil o desenvolvimento das atividades diárias pelos cuidadores. Esta revisão revela a escassez de estudos abordando a rizotomia dorsal seletiva cervical para o tratamento da espasticidade dos membros superiores em pacientes infantis com paralisia cerebral, embora existam evidências suficientes para o uso desta técnica neurocirúrgica em adolescentes e adultos. Assim, sugerimos que novas pesquisas sejam conduzidas para confirmar essa consideração preliminar e estender a real eficácia dessa técnica.

Keywords


Rizotomia, espasticidade, criança, membros superiores, neurocirurgia pediátrica.

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DOI: https://doi.org/10.34119/bjhrv3n4-261

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