The Journal of Spinal Cord Medicine, 2013 · DOI: 10.1179/2045772312Y.0000000022 · Published: January 1, 2013
Excessive hip adductor spasticity in patients with spinal cord injury (SCI) can cause the thighs to scissor, which can interfere with daily activities. If noninvasive treatments don't work, surgery might be an option. One surgical option is adductor tenotomy and selective obturator neurectomy, which involves cutting the adductor tendon and selectively cutting a nerve to reduce spasticity. This procedure relieved adductor spasticity in both thighs of a patient with T11 paraplegia, and with rehabilitation, he showed enhanced functional independence.
Surgical intervention, specifically adductor tenotomy and selective obturator neurectomy, can lead to significant improvements in functional independence and mobility for individuals with SCI experiencing severe adductor spasticity.
This surgical approach offers a viable alternative when conservative management, such as medications and physical therapy, proves ineffective in managing adductor spasticity in SCI patients.
In resource-limited settings, this surgical option may provide a long-term, cost-effective solution for managing focal spasticity compared to treatments requiring frequent follow-up and adjustments.