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Preoperative Evaluation and Patient Selection for SDR

Conditions for an SDR operation:

All types of patients with spastic cerebral palsy from 4 to 14 years old are good candidates for our SDR, including diplegia, quadriplegia, triplegia and hemiplegia, regardless of their preoperative level of GMFCS. (spasticity class).
The best age for our SDR is from 4 to 14 years old, the age that we did is 16 years old, the results are still good, but require a longer rehabilitation program.

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Results after SDR

Since mid-2016, our team has completed more than 450 SDRs with excellent results and without complications.

SDR is the only surgical procedure that can provide a permanent reduction in spasticity in cerebral palsy in children. Improves balance in standing and walking.
Selective dorsal rhizotomy reduces the severity of the hamstring and calcaneus contractures. Typically, there is an improvement in gait on tiptoe after SDR. Improves posture while sitting and standing.
SDR has a positive effect on the joints and muscles of the limbs restoring normal movement, reduces deformation of the limbs. 

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Postoperative rehabilitation.

After an SDR operation and a 3-day bed rest in the hospital, the child needs an individual set of rehabilitation measures to restore. Most of this program is studied during the preoperative physiotherapy program and during the hospital stay. Next, parents are provided with specific types of activities and methods.

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