Selective dorsal rhizotomy for spastic cerebral palsy: patient selection criteria and postoperative management

Abstract

The treatment of spasticity is crucial for children whose central nervous systems (CNS) suffered damage at a young age. Spasticity is a disorder that develops because of numerous illnesses and pathophysiology, has a significant influence on patients' everyday lives, and necessitates family care. Discomfort brought on by spasticity feeds a vicious cycle of discomfort that makes the spasticity worse. Due to the fact that spasticity is a secondary pathology resulting from irreparably damaged CNS, treating it can have significant positive effects on children. Over the past ten years, there have been significant improvements in how spasticity is treated. The development of dorsal posterior rhizotomy contributed to the emergence of universal criteria for spasticity care. There does not appear to be a uniform or conventional selection process for patients who would be the best candidates for the treatment, nor is there a set postoperative therapy plan. This article explains how patients are chosen and treated with selective dorsal rhizotomy.