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

Surgery is not the first-line treatment option for patients with cerebral palsy. Surgery is usually reserved for patients with severe disease causing functional abnormalities. Surgical interventions include selective dorsal rhizotomy and tendon lengthening or transfer.

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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