Selective Dorsal Rhizotomy For Cp

Selective dorsal rhizotomy Stimulation and transection of selective posterior rootlets. Laminectomy at L2-L5.

Selective dorsal rhizotomy Facet joints excluded, if possible to prevent Spinal-column instability and secondary deformity. Now only 2 level laminectomies. Irreversible reduction in spasticity, Transient weakness may occur, Long-term PT and orthotics needed.

Selective dorsal rhizotomy Not indicated for athetosis, ataxia, rigidity, dystonia, muscle weakness, overlengthened tendons, or severe fixed contracture. Earlier use of SDR reduces need of orthopedic surgery, May accelerate hip sub-luxation, increase pelvic-tilt in ambulatory patients, and exaggerate lumbar lordosis and speeds progression of scoliosis, hind foot valgus and mid-foot collapse.