RIZOTOMIA DORSAL SELETIVA CERVICAL NO TRATAMENTO DE PARALISIA CEREBRAL ESPÁSTICA EM CRIANÇAS: UMA REVISÃO

The aim of this study was to analyze the existing literature on cervical selective dorsal rhizotomy in the treatment of spastic cerebral palsy in children and to determine what evidence is obtained. An electronic literature search was performed in the MEDLINE (PubMed), ScienceDirect and Web of Science databases in May 2020. The search terms for the target sample were: “selective cervical Brazilian Journal of health Review Braz. J. Hea. Rev., Curitiba, v. 3, n. 4, p. 10418-10431 jul./aug. 2020. ISSN 2595-6825 10420 dorsal rhizotomy”; "Spastic cerebral palsy" and "children". When necessary, a new search was carried out on the Google Scholar database with the expression “cervical rhizotomy AND cerebral palsy AND spasticity AND children”. There was no temporal cut. Four articles were included in this systematic review. Studies show that infant and adult patients after undergoing selective cervical dorsal rhizotomy have reduced spasticity in the upper limbs, improved function and less difficulty in the development of daily activities by caregivers.This review reveals the scarcity of studies addressing selective cervical dorsal rhizotomy for the treatment of upper limb spasticity in children with cerebral palsy, although there is sufficient evidence for the use of this neurosurgical technique in adolescents and adults. Thus, further research is suggested to confirm this preliminary consideration and to extend the real effectiveness of this technique.