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Selective dorsal rhizotomy

Selective dorsal rhizotomy

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?

  • Reduction in spasticity
  • Reduction in orthopedic procedures
  • Improved energy efficiency
  • Improvement of range of motion
  • Ease of performing care activities
  • Improved positioning and caregiving
 

Meet the team

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Jessica Lane, MD
Jessica Lane MD Neurosurgery
Spina Bifida Clinic
Craniofacial care
Cerebral Palsy Clinic
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Ann M Ritter, MD
Ann Ritter MD Neurosurgery
Center for Craniofacial Care
Spasticity Clinic
Spina Bifida Clinic
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