Differential Sacral Blocks and Selective Neurotomies in the Treatment of Incomplete Upper Motor Neuron Lesion
Bibliographic record
Abstract
Selective neurotomies or alcoholization of a limited number of sacral roots or of an unilateral section of nervi erigens was carried out in 21 patients presenting an incomplete upper motor neuron lesion. These patients suffered from urinary incontinence due to detrusor hyperactivity. Some of these patients were retaining a large amount of residual urine as a consequence of sphincter spasm. The localization of the roots involved in the spastic process was made by differential anesthetic sacral blocks through a needle introduced into the posterior sacral foramina. Results of blocks were controlled by cystometry and uroflowmetry. According to localization either alcoholization or section of 1–3 sacral roots were performed. When a perfect lateralization was present, as in hemiplegic patients, a unilateral section of nervi erigens gave good results. This approach has been utilized in 26 patients with encouraging results.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".