Are you considering next steps for a child with spastic diplegia?
Selective dorsal rhizotomy (SDR) is a spinal operation for carefully selected children with cerebral palsy whose spasticity affects mainly the legs. Its goal is to reduce spasticity by interrupting sensory nerve feedback loops that inappropriately signal muscles to contract.
Children with spastic diplegia are most likely to benefit from SDR if they can walk on their own or have the potential to do so, and are physically and mentally able to participate in intense PT after surgery.
The ideal time to consider SDR is when a child is 3 to 12 years old and has plateaued with PT or other treatments. Your insights and input are key in these assessments.
Is SDR an option for my patient?
Selective Dorsal Rhizotomy Procedure
This video portrays the operation in detail from the family's perspective: