Cerebral palsy surgery
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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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