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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.

Before making a final decision on the SDR, we need a recent evaluation report that can be performed in the country of origin. It is better to have short video clips showing how the patient walks barefoot. All other evaluations, including MRI without contrasting the head and lumbar region, sacral region can be done in Israel. 

To provide information, fill out the Patient Form.




Exclusion criteria for SDR are as follows:

Spasticity in combination with other neurological disorders, such as uncontrolled seizures;

Spasticity due to trauma to the brain or spinal cord;
Spasticity with tendon contractures or joint deformities in the lower extremities;

Patients with severe scoliosis

Patients with moderate to severe mental retardation.

If your case is a potential case for our SDRs, we will arrange a consultation for you.

Clinic for SDR operations:

When a case meets our criteria, an SDR will be conducted at the Herzliya Medical Center in Israel.

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