Selective dorsal rhizotomy for cerebral palsy spasticity reduction
Selective dorsal rhizotomy (SDR) surgery treats muscle spasticity caused by abnormal communication between the brain, spinal cord, nerves and muscles. It decreases muscle tightness by reducing the number of abnormal signals to the muscles.
Is selective dorsal rhizotomy right for my child?
SDR is an option for children of any age who:
Can walk
Have good strength
Can work with physical therapy
What are the benefits of selective dorsal rhizotomy?
Reduction in spasticity
Improvement in walking patterns
Improved energy
Reduction in the need for orthopedic procedures
Improved range of motion and functional mobility
Increased independence in performing self-care activities, such as getting dressed and grooming
Dorsal and ventral rhizotomy for spastic quadriplegic children
A dorsal rhizotomy only decreases the number of sensory inputs causing spasticity. In some patients that will make dystonia worse. These are the rhythmic, slow movements. In patients who do not walk, both sensory and motor roots may be cut to alleviate spasticity and dystonia. The number of sensory roots cut is based on intra-operative monitoring. Fifty percent of each motor root will be left.
Is dorsal and ventral rhizotomy right for my child?
This procedure is an option for children of any age who:
Do not walk or use their legs for functional movement
Have not experienced success with medicine and injections
What are the benefits of dorsal and ventral rhizotomy?