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Cerebral Dorsal Rhizotomy is a highly refined, specialised surgery that aims to decrease muscle stiffness within cerebral palsy. When surgery is performed, it cuts segregated rootlets at specific points in the spinal cords of patients who experience hypertonia by nerve damage at the periphery of these rootlets, thereby enhancing mobility and decreasing pain.

The primary objective of Selective Dorsal Rhizotomy (SDR) is to reduce spasticity, or muscle tightness and stiffness, in children and adults with cerebral palsy, typically spastic diplegia. The procedure enhances motor function, reduces pain, enhances mobility, and enhances the effectiveness of physical therapy by severing abnormal nerve rootlets in the spinal cord.

Consult a paediatrician or neurologist if your child is experiencing painful muscle stiffness or causes deformity, persistent spasticity that interferes with walking, standing, or sitting, or does not alleviate with physical therapy. The average age for candidates is 2–12 years, with children with spasticity potentially being helped as well.

A team comprising specialists in physical therapy, neurology, and orthopaedic surgery conducts the intensive review during preparation. EMG, gait analysis, functional motor evaluations, and MRIS of the brain and spine are some examples of procedures performed. Psychiatric and nutritional assessments, alterations to medications, and initiating physical therapy are just some of the requirements patients may need before undergoing surgery.

General anaesthesia is administered during the procedure. The doctor:
Incision: An incision is made in the lower back of the lumbar spine.
Exposes the spinal cord and identifies the rootlets of sensory nerves.
Determines the rootlets producing the abnormal impulses through electrical stimulation.
Decrease spasticity by selectively cutting the offending rootlets.

The operation typically lasts 4 to 6 hours, and the hospital stay is generally 3 to 7 days. Rehabilitation after an operation lasts for a few months to years and includes intensive physical therapy.

Weakness
Numbness or sensory loss
Bowel or bladder dysfunction
Spinal deformity over time

SDR can enhance mobility and gait, reduce pain, increase independence in daily activities, and significantly decrease muscle stiffness. As a consequence, future orthopaedic surgery and long-term spasticity medication might be avoided.

Pain management and bed rest are required during the early stages of rehabilitation. To maximise motor gains, intensive physical therapy starts shortly after surgery and continues for months. Orthopaedic evaluation, therapy modification, and muscular strength monitoring are all components of long-term follow-up.

The majority of patients undergoing rhizotomy experience significant improvement in spasticity or chronic pain relief. A few individuals, however, experience little or no pain relief. Further information about the likelihood of success for your specific procedure can be found through your treatment team.

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Explore Hospitals ( 1 )

Adatip Hospital

Sakarya, Turkey

Adatip International Hospital was founded in Sakarya, Turkey, in 1995. It has been accredited by Turking medical association and ISO Credentials. The hospital has been prepared with a capacity of 450 beds and 16 fully equipped operating rooms. 2 out of these 16 OTs are hybrid and equipped with advanced technology.

It offers affordable healthcare services in all departments while all services are rendered at the same standards and quality. It serves patients through a comprehensive group of healthcare professionals. It responds to the needs of patients based on a holistic approach that considers physical and mental well-being as a whole and offers predictive, preventive, personalized, and therapeutic solutions.

The quality of service is maximized by specialized healthcare professionals, medical collaborations, and technologies. It has specialized departments such as anesthesiology, biochemistry, cardiology, dermatology, ENT, gastroenterology, infectious diseases, neurology, orthopedics, and psychology. The mission is to consider the expectations, needs, responsibilities, and rights of all patients, employees, and companions at each step of the service delivery. The values are to ensure sustainability in improvement and education, provide modern infrastructure, believe in the power of teamwork, present the best health care without sacrificing the quality, honor the principles of organizational social responsibility, use sources efficiently, enrich and protect the sustainable success and the organizational culture, and work in line with scientific and ethic rules.

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Author

Dr. Shagufta Parveen

Doctor of Pharmacy

1.5 Years of Experience

Dr. Shagufta Parveen is a medical and scientific content writer with expertise in clinical pharmacology and pharmacotherapeutics. She holds a B.Pharm and Doctor of Pharmacy (Post-Baccalaureate) degree from Teerthanker Mahaveer University, Moradabad. During her clinical stint at BLK-Max Super Speciality Hospital and Indraprastha Apollo Hospital, she gained hands-on experience in the Clinical Pharmacology Department. Combining scientific knowledge with strong medical writing skills, Dr. Shagufta develops evidence-based healthcare content, treatment guides, and patient education resources. Her work focuses on simplifying complex medical concepts while maintaining scientific accuracy, helping readers better understand healthcare advancements and treatment options. . View More

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⁠Dr Rakesh Kumar Dua

Spine & Neurosurgeon

25 Years of Experience

Dr. Rakesh Dua has more than 25+ years of clinical experience in spine surgeries. He is currently providing his services as Director, Neuro & Spine Surgery at Fortis Hospital, Shalimar Bagh. Before joining Fortis Hospital, he was associated with Max super-specialist Hospital, Shalimar Bagh as Director Neurosurgery & Head Neuro Spine, and with UCMS & GTB hospital as head of the neurosurgery department. View More

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