ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2025
Selective dorsal rhizotomy from indication to rehabilitation: a worldwide survey.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Building a pediatric spasticity surgery program in a low-awareness setting: capacity creation, multidisciplinary integration, and early outcomes.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Article
- [Limited bone and soft tissue surgery combined with Ilizarov technique in treatment of adolescent severe cerebral palsy with flattened valgus foot and lower leg external rotation deformity].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Article
- Neurosurgery to restore function in cerebral palsy: current practice and emerging therapies.Frontiers in rehabilitation sciences · 2026Review
- Article
- Advances in the diagnosis and management of post-stroke limb spasticity: a narrative review.Frontiers in neurologyReview
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6 authors.
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Abstract
purposeSelective dorsal rhizotomy (SDR) is a neurosurgical treatment used worldwide to reduce spasticity. The procedure has undergone many changes since its introduction in the early 1900s, and currently, different centers vary in many aspects of the procedure. We surveyed centers on different continents regarding SDR indications, surgical techniques, and postoperative rehabilitation.
methodsTen centers worldwide with SDR experience participated in an online survey preparing for a pre-conference workshop in 2022. The main topics were patient characteristics, the selection process, surgery, and rehabilitation.
resultsUniversal suitable candidates for SDR were patients with bilateral spastic cerebral palsy, Gross Motor Function Classification System levels II or III, ages 5 to 7 years, and adequate strength, motor control, and access to postoperative rehabilitation. Centers differed in additional inclusion and exclusion criteria and the use of diagnostic tools. Both single- and multilevel approaches were used, with electrophysiological monitoring applied in all approaches. Intensive rehabilitation was recommended after surgery, followed by a less intensive program, with variations in duration, therapy frequency, modalities used, and follow-up periods.
conclusionThis survey demonstrated many similarities in several aspects of the SDR procedure in centers performing SDR worldwide, while considerable variability was also seen. The results emphasize the need for standardized reporting of SDR procedures and outcome measures to enable international comparative studies. A Delphi procedure could be a first step to reaching a consensus on outcome measurements, which may lead to a consensus regarding the most suitable candidates, surgical techniques, and rehabilitation programs to improve functional outcomes.
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