Cerebral palsy surgery

Cerebral palsy Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

Surgical intervention is not recommended for the management of [disease name].

OR

Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]

OR

The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].

OR

The feasibility of surgery depends on the stage of [malignancy] at diagnosis.

OR

Surgery is the mainstay of treatment for [disease or malignancy].

Surgery

Selective dorsal rhizotomy

• The main neurosurgical intervention for cerebral palsy.
• It involves dissecting some of the afferent nerve fibers in the lumbosacral roots.
• This results in decreasing the muscle tone by disrupting the reflex arc without affecting the motor power.
• Selective dorsal rhizotomy is proven to improve the muscle strength and the range of motion.
• In certain patients, weakness develops after performing the procedure. The weakness is thought to be unmasked by the relief of spasticity.

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Tendon lengthening or transfer

• Tendon manipulations are done when the contracture is interfering with the movement significantly.
• It might improve the range of motion and the ability to ambulate.

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